Corporate Partner Tuition Rate Agreement- Initial

The following form will be used to help verify your employment with a special tuition rate-eligible organization. Please fill out each question to the best of your ability. If for some reason you cannot answer a question, please contact the office of graduate and continuing education enrollment services at 814-824-3351 for further guidance. The information below will be used to verify your employment in the weeks leading up to each semester in which you are enrolled.

THIS FORM MUST BE SUBMITTED BY THE DROP / ADD DATE OF THE APPLICABLE TERM TO BE CONSIDERED FOR THE DISCOUNT.

First Name

Last Name

Birthdate (For Matching Purposes)

Please select your employer from the list of eligible organizations; if you do not see your organization, contact graduate admissions at 814-824-3351.

Please provide your employer-related email address.

Please provide an organization contact who could verify your employment

Please provide an email address for the contact above.

By entering your name into the box below, you are acknowledging that your eligibility for the special tuition rate you're being charged ends when your employment with the special rate-eligible organization ends.

You are also acknowledging that failure to confirm your status as an employee of a special rate-eligible organization prior to each semester/term may result in you being billed at the standard rate for your program of choice.

Please enter your name below to acknowledge the above statements.

Mercyhurst University

Corporate Partner Tuition Rate Agreement- Initial

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