BOOK VOUCHER ELIGIBILITY FORM
FACULTY, STAFF, SPOUSES and CHILDREN of FULL-TIME EMPLOYEES
OF BLINN COLLEGE
EMPLOYEE: _____________________________________________________
SSN #: ________________________ EMPLOYEE ID: ____________________
STUDENT: _______________________________________________________
SSN #: ________________________ STUDENT ID: _____________________
I certify that employee is a full-time Blinn College employee as defined by the
Texas Teacher Retirement System.
[ ]
YES
[ ]
NO
___________________________________
Human Resources
___________________________________
Date
BLINN COLLEGE grants a $75.00 book voucher per course, per semester, for
courses taken at Blinn College. The voucher is only valid at the Blinn College
Campus Bookstores. The employee is responsible for any charge in excess of
$75.00 per course. The voucher is good only for books; no supplies or
consumables may be purchased on this voucher. If the full amount of the voucher
is not used, the difference is NOT redeemable for cash or merchandise.
I have read the Blinn College’s “Book Voucher Policy” and I agree to abide by its
terms and conditions.
___________________________
Blinn College Official
____________________________________
Employee / Student
___________________________
Date
____________________________________
Date
Courses _____________ x $75.00 = $ _____________________ Book Voucher