Tuition Waiver/Honorarium Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Please select Administrator, Cooperating Teacher, or Internship Supervisor from the drop down
Please Select
Administrator
Cooperating Teacher
Internship Supervisor
Field/Student Teacher/Intern Name
*
First Name
Last Name
Honorarium or Tuition Waiver (reminder Administrators for Field Students or Student Teachers are only eligible for Tuition Waivers. If requesting Honorarium, please complete the online W-9 and online EFT documents as well.)
Honorarium
Tuition Waiver
Submit
Should be Empty: