Tuition Assistance Application Form Home Finance & Administrative Services Tuition Assistance Application Form Finance & Administrative Services Accounts PayableFinancial & Accounting InformationPolicies & FormsContact Us Qualified faculty and staff wishing to apply for tuition assistance via the Carthage College tuition remission program or the ELCA exchange program are required to complete this form. (Please note: If you wish to apply for The Tuition Exchange Scholarship Program, you will need to apply The Tuition Exchange website.) Please note: For dependents, this form should only be completed AFTER the dependent has applied to the college(s) of their choice. All fields marked with asterisk (*) are required. employee_first_name required text field Employee First Name* employee_last_name required text field Employee Last Name* employee_email_address required e-mail address field Employee Email Address* employee_id_number required text field Employee ID Number* is_the_employees_adjusted_gros radio button field Is the employee's adjusted gross income greater than 60,000?If no, the employee will be required to complete a FAFSA. Yes No student_first_name required text field Student First Name* Current or applying student student_middle_initial text field Student Middle Initial student_last_name required text field Student Last Name* student_id_number_if_applicabl text field Student ID Number (if applicable) students_relationship_to_emplo required select menu field Student's Relationship to Employee* Self Spouse Domestic Partner Dependent Child student_phone required text field Student Phone* student_email_address e-mail address field Student Email Address student_address required textarea field Student Address* Include street, apartment number if applicable, city, state, ZIP. student_birthdate required text field Student Birthdate* MM/DD/YYYY degree_seeking required select menu field Degree Seeking* Bachelor Master's in Education Teaching Certification Non-Degree Seeking enrollment required checkbox field Enrollment* Full-time At least half-time Less than half-time application_year required radio button field Application Year* 2022-2023 2023-2024 2024-2025 student_is_applying_as required checkbox field Student is applying as* Carthage Tuition Remission ELCA Scholarship student_is required checkbox field Student is* First Time Freshman Transfer Returning Graduate Non-Degree Seeking please_list_the_schools_that_t required text field Please list the schools that the student has applied to for admission.* Note: Carthage will not submit application for ELCA or Tuition Exchange scholarships until a student has applied to that institution for admission. comments textarea field Comments Link (required)
