HRDO Remarks on the Application for Privilege to Study at Reduced Fees Note: Please fill out all required fields (*). HiddenParent Form Entry ID*HiddenParent Form Version*Employee InformationType of Employee* Admin Faculty REPS Employee* First Name Middle Name/Initial Last Name Suffix Employee E-mail Address* Employee Number* AssessmentWould you like to proceed with the assessment?*Kindly note that skipping the assessment will require you to reject the application in the next step of the workflow. Yes No Is the employee's name stated on the application correct?* Yes No Employee Name First Name Middle Name/Initial Last Name Suffix Is the employee number stated on the application correct?* Yes No Employee Number* Is the employee's rank stated on the application correct?* Yes No Rank*Select RankRankClearance Checklist* Tenured Non-Tenured On Study Leave On Vacation Leave with Pay Appointment Status* Contractual Coterminous Substitute Temporary Appointment Start Date* MM slash DD slash YYYY Appointment End Date* MM slash DD slash YYYY Is the application within the appointment period?* Yes No Study Leave Start Date* MM slash DD slash YYYY Study Leave End Date* MM slash DD slash YYYY Vacation Leave Start Date* MM slash DD slash YYYY Vacation Leave End Date* MM slash DD slash YYYY Maximum Number of Enrolled Units Allowed*Number of Units at Reduced Fees*HiddenIs the academic load above 18 units?* Yes No Not Applicable RemarksFor SubmissionReviewer* First Name Last Name Unit Head* First Name Middle Initial Last Name Suffix NameThis field is for validation purposes and should be left unchanged.
