Request for Exception to Tuition Grant Eligibility Criteria on Basis of Dependent’s Disability

JHU’s Office of Benefits Services considers requests for exceptions to the age and/or credit hour tuition grant eligibility criteria when an otherwise eligible dependent cannot meet the criteria due to a disability. Employees requesting an exception must submit documentation of the dependent’s disability to the Office of Institutional Equity (“OIE”). OIE reviews the documentation and provides a recommendation to Benefits Services as to whether it is sufficient to establish the need for an exception on the basis of a disability. Documentation is maintained in OIE and is not shared with Benefits Services. If an exception is granted, tuition grant eligibility is still limited to eight semesters of undergraduate study. Please contact the University’s ADA Compliance Officer at (410) 516-8075 or oiedisability@jhu.edu with any questions about submitting this form or the documentation required.

Employee Name

First Last

Position Title

Department

Preferred Daytime Phone Number

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dependent's Name

First Last

Dependent's Disability

Eligibility Criteria you require an exception for:

Age

Credit Hours

Have you previously received an approval or denial of a tuition grant?

Yes

If you have previously received an approval, please explain.

Please provide a brief explanation as to why your dependent cannot meet the age or credit hour requirement due to their disability.