ࡱ> ad`U bjbjnn *Daa F F ~~~8t>4Sfr(pDpDpDxSzSzSzSzSzSzS$_UXS~pDBpDpDpDS&SIIIpD^~xSIpDxSII6|PH6Q"i@D\QdSS0SxQdX\EX8QQX~QtpDpDIpDpDpDpDpDSSRGpDpDpDSpDpDpDpDXpDpDpDpDpDpDpDpDpDF B : The Fee Concession Scheme Policy provides full guidelines in relation to eligibility criteria and is available on the Staff Wellbeing & Development website. This form must be completed ANNUALLY for the duration of the programme of study. PART A Name (Staff Member) ................................................................................................ (Block Capitals) School\Department\Office ............................................................................................ Staff No. ..... Date of Appointment: .................... Appointment: Permanent Fixed-Term Tenure B CID Post: Full-Time Part-Time Job-Sharing Student Number ................................................................................................................................................. Course Title: .......................................................... Course Code: ..................................... Course Type (e.g. degree\diploma etc.): ........................................... (Must be NFQ Level 7 or above) Course Duration: .... Current Year of Study: (e.g. 1st, 2nd,3rd year etc.) ..................... Have you availed of a staff fee concession previously for an undergraduate or postgraduate programme of study? Yes No If yes, please provide details................................................................................................ . Will the commitment required to fulfil this course of study reduce your current FTE (working hours)? Yes No In order to be eligible for a Fee Concession, the following two criteria must be met: A staff member cannot be on Unpaid Leave, Leave of Absence or a Career Break when claiming a concession A staff member must not have exceeded the entitlement to two programmes of study I confirm that I understand the tax implications of the payments of courses by UCC to staff or family members. I am also aware that a tax lability may arise on certain courses. I certify that the foregoing information supplied by me is correct and I agree to the terms and conditions set out in the Fee Concession Scheme: Signature of Staff Member: ........ Date: ........... PART B Name of Head of School/Department/Unit: ....................................................................................... (Block Capitals) Signature of Head of School/Department/Unit: ................................................ Date: ................ ..................................................................................................................................... PART C In the unusual circumstance where a full time member of staff is undertaking a course requiring full time registration, the Head of School/Department/Unit is required to sign below in recognition that they have discussed this with the staff member and agree the workload will not be affected during the period of study being undertaken. Signature of Head of School/Department/Office: ............................... _______________________________________________________________________________________ Completed application forms to be emailed to  HYPERLINK "mailto:traininganddevelopment@ucc.ie" traininganddevelopment@ucc.ie or forwarded to Staff Wellbeing & Development, HR, 1st Floor, Block E, Food Science Building, UCC. For eligibility queries, contact Staff Wellbeing & Development - (021) 490 3591. For financial queries (excl. tax), contact Fees Office - (021) 490 3747 & for tax queries, contact Accounts - (021) 490 2678. _______________________________________________________________________________________ HR USE ONLY Fee Concession Entitlement: Approved Rejected Applicants FTE: ............................................... Employment Status: ................................................. Date sent to Fees Office: ................................................................................................................... Comments (if applicable): .................................................................................................................... .............................................................................................................................................................. FINANCE OFFICE USE ONLY Fee Concession Entitlement: Registration Only 50% 25% Amount: . Cost Code: ... Date: ...........................................................     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