Tuition Remission Application for dependents of Cedarville University employees

CU Dependent Information

Social Security Number *

Date of Birth (mm/dd/yyyy) *

Cedarville ID (Number if Known)

Name (First, MI, Last) *

Street Address *

City/State/Zip Code *

Home Phone *

Cell Phone

E-mail Address *

High School *

Anticipate Graduation Date (mm/dd/yyyy) *

Current Cumulative GPA *

ACT Composite

SAT Composite

Last Date Tested (mm/dd/yyyy) *

Name of Faculty or Staff Parent *

Current Position Held *

Department *

Number of Years Employed by CU *

(Must be eligible for full tuition remission by terms of employment)

Have you completed the TR Eligibility Form with the Human Resource Office? *

Are you a member of the CU Board of Trustees *

College Information

CCCU TWEP - Tuition Waiver Exchange Program with participating CCCU schools

Exchange - Tuition Remission exchange benefit with Baptist Bible College

Program you are applying for *

CCCU TWEP College you wish to attend

City/State

Anticipated major field of study *

Year and term you plan to enroll *

Date you applied for admission (mm/dd/yyyy) *

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