Ivy Tech Community College of Indiana Waiver of Fees for Enrollment in Ivy Tech Courses Full-Time Employees Sellersburg Campus
The College may waive the general fees for enrollment of full-time employees in Ivy Tech courses to a maximum of twelve (12) credit hours per semester or an equivalent number of non-credit courses (cost of non-credit courses not to exceed credit course fees for twelve credit hours). THIS APPROVAL FORM MUST BE PRESENTED AT THE TIME OF REGISTRATION
, 20 Semester	Employee Social Security Number
Employee Name                             Last                                First                                Middle Initial

Course Number	Section	Title	Day/Time	Credits
Class attendance (check one) will will not conflict with normal working hours. If so, class is not otherwise available and the following arrangements have been made: (Limit of one (1) work-related class during normal working hours)

Approval

Supervisor Signature and Date

Chancellor Signature and Date

Executive Director of Human Resources/Facilities Signature and Date

Return completed form, along with the Registration Form to Human Resources Office.