OFFICE OF SPONSORED PROJECTS
PO Box 4130
1395 South Knoles Drive
Flagstaff, Arizona 86011
ARD Building #56 Suite 240
Phone (928) 523-4880 / Fax (928) 523-1075
Sponsored Project Tuition and Fee Waiver Request Form
The purpose of this form is to expedite consideration of tuition and fee waiver requests by providing a similar format to
request the waiver(s) and to secure internal approvals from department/unit heads and deans.
INSTRUCTIONS: Submit the completed form to the Office of Sponsored Projects (OSP) Grant and Contract Administrator
(GCA) assigned to your unit; OSP will forward the request to the Vice President for Research (VPR) for review and decision.
The following documents must be included with this request: proposal abstract, detailed budget, budget justification.
The Office of Sponsored Projects is located in Suite 240, ARD Bldg. #56, Flagstaff, AZ 86011-4130. Please contact your GCA or
OSP at 928-523-4880 or via e-mail to ogcs@nau.edu for assistance in completing this form.
Date:
Proposal Deadline:
Principal Investigator:
Project Title:
Sponsor:
Program:
F&A rate
% and base
(MTDC, TDC, other) allowed by the Sponsor
1. Is this a NEW waiver request or a request for
CONTINUATION/RENEWAL of waivers for an existing
sponsored project? If this is a continuation request, list the NAU Account Number:
2. Are tuition and fees allowable charged to this grant proposal? If allowable, explain and justify why a waiver
of one or both is being requested. What university, school, or departmental interest(s) are served by waiving
the direct costs of tuition and/or fees that are allocable for this project?
Tuition Allowed by Sponsor
Tuition Requested from Sponsor
Difference (Amount to be waived)
=
=
=
$
$
$
Fees Allowed by Sponsor
Fees Requested from Sponsor
Difference (Amount to be waived)
=
=
=
$
$
$
3. Provide the following information for each course:
Course #
Semester
# of credit hrs
Tuition $/hr.
# of Students
Total value ($) of Tuition Waivers
Total Cost per Course
$
4. What academic fees, if any, are included in the request?
Fee
Cost
# of Students
Total value ($) of Academic Fee Waivers
Rev. 05/04/2016
Total Cost per Fee
$
1
Principal Investigator/Project Director (PI/PD) Certification: I certify that the information provided above and in
the attached documents is accurate to the best of my knowledge.
______________________________________
PI/PD
Date
Department/Unit/College Endorsement: Waiver of the requested tuition and/or fees is in the best interests of
the department/unit/college for the reasons described above, and we endorse this request.
______________________________________
Department Chair/Director
Date
______________________________________
Dean/Director
Date
Office of Sponsored Projects:
_______________________________________
Grant and Contract Administrator
Date
APPROVED:
_______________________________________
William P. Grabe, VP for Research
Date
Rev. 05/04/2016
2