Christopher Newport University
Request for Tuition Waiver
AP-16
Rev. 11/12
Instructions: Employees requesting a tuition waiver should obtain all appropriate signatures on this
form and submit it along with a Registration Form to the Office of the Registrar no later than the
last day of ADD/DROP by 5:00 p.m.
Name_____________________________________________ CNU ID _______________________
Address___________________________________________________________________________
Position Title_____________________________________ Date Employed_____________________
Full-Time Status___________________________________ Office____________________________
I wish to enroll for_______________________________ Semester____________________________
(Fall, Spring, Summer)
(Academic Year)
Course Code____________________ Course Title_________________________________________
Course No./Section____________________ Credit Hours_______________ Audit________________
Date__________________ Applicant’s Signature __________________________________________
Approval for Waiver of Tuition for the above employee is granted:
Date__________________ Supervisor’s Signature__________________________________________
Date__________________ Dept. Head’s Signature_________________________________________
Date__________________ Cabinet Level Officer’s Signature_________________________________
Registrar’s Office:
Business Office:
_____________________________ ______________________________
Approved
Denied
_____________________________ ______________________________
Approved
Denied
Notice: If denial is due to the requested course being full, another AP-16 must be submitted.
Copies to:
Registrar___
Student Accounts___
Employee___
Personnel___