Employee/Spousal Graduate Tuition Remission

This application must be completed and submitted for employees or their spouse to apply for tuition remission for graduate classes. The information collected below is necessary to determine whether your graduate tuition remission will be considered taxable income and included on your W-2. You must complete a new form for each term you or your spouse wish to attend. Tuition Remission requests must be submitted no later than the first day of the term attending.

Fields marked with a * are required.

Employee Information
Your Email Adresss*
Employee UST ID*
Employee Full Name*
Student Information
Student UST ID*
Student Full Name*
The student is*
Academic Year*
Term Attending*
Please list the course(s) you or your spouse wish to take:
Course Title Course Number
This application is for

By checking this box, I certify that the student for whom I am applying is either

1. Myself, or

2. My legally married spouse.