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SSN: - - Title: Dept: Address: City: Zip: Phone: This tuition waiver is for: Fall 20___ Spring 20___ Summer 20___ Course Name: Course Number: Number of Course Credits: Signature of Applicant Date Signature of Immediate Supervisor Date Signature of City of Laramie Human Resources Department Date Form updated January 2021 APPLICATION FOR TUITION WAIVER CITY OF LARAMIE EMPLOYEES LARAMIE COUNTY COMMUNITY COLLEGE Applicant's name: REGISTER FOR YOUR CLASS FIRST, THEN FILL OUT THIS FORM AND RETURN TO HR WITH ALL SIGNATURES. Tution and fees shall be assessed at resident or non-resident rates in accordance with published fee schedules. Course waivers are granted through the City of Laramie Human Resources Department. Waivers are granted on a first-come first-serve basis. A ONE-TIME, NON-REFUNDABLE, $20.00 APPLICATION FEE AND ALL APPLICABLE COURSE FEES ARE THE STUDENT'S RESPONSIBILITY.