Tuition Benefits Form for ECE Dept. Fall 2021
Please submit the following form to register for the Tuition Benefits Program only if you are employed by the ECE Department or another department.  You must be accepted to the Ph.D. or Masters's program.  
Email *
First Name *
Last Name *
University ID *
What is the best email to contact you?
How are you funded to qualify for tuition benefits?                      
You may click on all that apply
Which of the following statements is most applicable to you? *
Which faculty member are you working for?
Are you enrolled in 9 credit hours? ( If you are not enrolled in 9 credits, Tuition Benefits will not be applied to your tuition balance) *
Do you want to be enrolled in the Graduate Subsidized Health Insurance and EMI Dental and Vision health insurance?  
Please agree to the following statements. *
Required
Are there any special circumstances that we should be aware of?
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