St. John Fisher University Tuition Exchange (TE) Internal Application

For students entering college in Fall 2025
This information will be used by the TE Liaison to complete certifications for the student.

Student's Full Name

Student's High School GPA

Student's Year in College for Fall 2025

Employee First Name

Employee Last Name

Employee Title

Employee Office at Fisher

Employee Cell Phone Number

Employee Email Address

To find list of participating colleges/universities, please visit www.tuitionexchange.org and www.cic.edu.

Name/State of Colleges to which the student is applying (i.e. RIT, NY)

Employee must read and sign. I understand/agree to the following:

This is a competitive scholarship process. Certification by St. John Fisher University does not guarantee the student will receive the Tuition Exchange Program scholarship at one of the tuition exchange colleges or universities.

All information provided on this form is accurate. I am a full-time employee at St. John Fisher University and the student named on this form is planning to attend college full-time. Should my full-time status change at any time, I will immediately notify the TE liaison.

The student listed on this form will be a dependent on my 2024 federal tax form. I will provide a copy of this tax form to the Human Resources Office no later than May 1, 2025. (This will be required annually.)

I will notify the Tuition Exchange Liaison at St. John Fisher University where my child is planning to attend college no later than May 1, 2025. Likewise, if my child withdraws from the college at any time, I will immediately notify the TE Liaison.

St. John Fisher University limits a student's tuition exchange certification to a maximum of eight semesters of full-time undergraduate coursework.

All other related benefits information may be found in the University’s Employee Handbook.

Employee Signature - Please type your name in the box in place of a signature to confirm you understand and agree to the terms listed above.