Forms Manager

CSB/SJU Employee Spouse Class Request Authorization Form

NOTES:

This form is for CSB/SJU employees only. Liturgical Press, St. John's Prep & Abbey employees use a separate form. This form is utilized for tuition remission purposes and does not complete your registration.

Once you submit this form, you will be redirected to fill out a Data Collection Form. The data collection form is what begins the course registration process.

Date of Request

MM/DD/YYYY

Employee Personal Information

Employee Name

First and Last Name

Email Address

Employment Start Date

Month & Year

Department

Spouse Information

Spouse's Name

First and Last Name

Spouse's Email

Course Information

Academic Year

YYYY-YYYY

Semester

Note: Summer term is the 1st term in each academic year.

	Summer
	Fall
	Spring

Class Attending - Subject

Class Attending - Course Number

Employee Signature

After you sign & submit, you must also continue on & fill out the Data Collection portion in order to be considered for registration.

Employee Signature

Type name here to sign this form for submission

Employee Signature Date