Immediate Supervisor or Dean/Unit Head Remarks on the Application for Privilege to Study at Reduced Fees Note: Please fill out all required fields (*). HiddenParent Form Entry ID*Employee InformationType of Employee* Admin Faculty REPS Employee* First Name Middle Name/Initial Last Name Suffix Employee Number* AssessmentIs the employee on study leave?* Yes No HiddenTerm Actual Teaching Load Units*Research Units*Administrative Work Units*Study Units*Total Units*HiddenIs the academic load above 18 units?* Yes No Not Applicable Employment Status* Tenured Non-Tenured Appointment Start Date* MM slash DD slash YYYY Appointment End Date* MM slash DD slash YYYY RemarksHiddenApprover* Immediate Supervisor Dean/Unit Head EmailThis field is for validation purposes and should be left unchanged.
