Request Tuition Benefit Access

Access Request

Complete the form below to request access to the Full-Time Dependent Tuition Benefit form.

Human Resources approval is required.

Submitting this request does not automatically grant access. Human Resources will review your eligibility before sending you a secure form access link.

Your Information

First Name *

Last Name *

Email Address *

Use an email address you currently have access to.

Former / Current Employee ID (Optional)

If you know the Juniata Employee ID associated with the employee or retiree whose Tuition Benefit eligibility is being used, please enter it here. If you do not know it, Human Resources can add it during the approval process.

Requested Form

Student's relationship to Juniata *

Dependent Name *

Enter the name of the dependent who will receive the Tuition Benefit.

Number of Classes for this Request *

Full-Time Dependent requests are limited to one form.

Additional Information

Cancel

Before You Submit

Choose the correct form

Make sure the Tuition Benefit form shown on this page matches the benefit you need.

Provide a current email

Human Resources will send approval information and your secure access link to this address.

Employee ID, if known

If you know the Juniata Employee ID associated with the employee or retiree, please provide it. If you do not know it, Human Resources can add it during the approval process.

Wait for HR approval

You will receive a secure form access link after Human Resources approves your request.

Current Juniata Employee?

Current employees do not need to request external access.

Employee Tuition Benefit Portal →

Questions?

Contact the Juniata College Human Resources Office if you are unsure which option applies to you.