Current Term:______

Professional Development Schools (PDS) Discount Waiver Form-

Students who hold a NJ Instructional or Educational Services Certificate and are employed at a public school or a NJDOE approved School for Students with Disabilities collaborating with Centenary University as Professional Development Schools (PDS), receive a reduction in the tuition rate for classes. This applies to Education courses that have the GED designation in the course number, both on the Centenary University campus as well as classes offered at a PDS site or online. Please note that students need to be under contract for the full school year in order to be eligible for this discount. Beginning in Fall 2016 the PDS discount rate will be 35% for all new or readmitted PDS graduate students. PDS students who have taken courses prior to the Fall 2016 semester will be grandfathered in at the current 50% discount rate so long as they have not had an absence of one year or more. PDS students enrolled prior to Fall 2016 but not registered for courses for one year or more will need to be readmitted and will receive the 35% discount rate. For the Ed.D program the PDS discount rate is 25%.

I am employed at a PDS school and hold the required NJ certificate.

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Name of PDS School Printed Name of Person Registering Signature

Name of Principal______Signature ______

*Please refer to the back of this page to confirm that your school is a PDS site.

*Every semester this form needs to be filled out. Please return this form to the Student Accounts Office – Fax: (908)813-2632 or Email: [email protected] Update: 9/1/2021 Page: 1 of 2 The following is a complete list of the PDS schools and districts and their corresponding section code for courses offered at a PDS site.

This 2 or 3 letter code must appear on the registration form for courses offered at the respective school location. Alexandria Township School District AX Knowlton School District KN Allamuchy Township School District AE Lafayette School District LS Alpha School District AL Lopatcong School District LD Andover School District (Sussex County) AN Lebanon Township School District LT Belleville School District BL Lenape Valley Regional High School LV Belvidere School District BS Madison School District MSD Bethlehem Township School District BE Mansfield Twp. School District MT Blairstown School District BLS Matheny School, (Lab school site) MS Bloomfield School District BSD Mendham Township School District MTD Bloomsbury School District BM Middlesex Borough School District MSD Boonton Township BTS Milford Public School MBD Bound Brook School District BBS Montgomery Academy MA Butler School District BPS Montville Township Public Schools MTS Byram Twp. Schools BT Morris Hills Regional High School District MH Califon School District CA Mount Arlington School District MO Celebrate the Children School CC Mount Olive Township School District MD Clinton Township School District CT Netcong Elementary School NE Clinton Public School (Hunterdon County) CPH Newton School District NS Cranford Public School District CPS North Hunterdon Voorhees Regional H.S. District NH Delaware Township School District DTS North Warren Regional High School District NW Delaware Valley Regional High School District DV Ogdensburg School District OB Denville School District DE Oxford School District OX Dover School District DO Parsippany-Troy Hills School District PA Essex Fells School District EF Phillipsburg School District PS Fairfield Public School District FPS Pohatcong Township School District PT Flemington/Raritan School District FR Randolph School District RA

Frankford Township School District FSD Rockaway Borough School District RBS Franklin Township School District (Hunterdon County) FRT Rockaway Township School District RTS

Franklin Township School District (Warren) FTW Roxbury School District RS Franklin School District (Sussex County) FS Somerset Hills School District SHS Fredon Township School District FT South Hunterdon Regional School District SHR Frelinghuysen Township School District FRE Sparta School District SS Frenchtown Elementary School District FES St. Therese School STS Great Meadows School District GM Stanhope School District SH Green Township School District GS Stepping Stone School SP Greenwich Twp. School District GT Stillwater Township School District ST Hackettstown School District HH Sussex Wantage School District SW

Hamburg School District HSD Tewsksbury School District TE Hampton School District (Hunterdon) HP Union Township School District (Hunterdon County) UT

Hampton Township School District (Sussex) HT Vernon Township School District VT Hardyston School District HE Wallkill Valley Regional High School District WVR Harmony School District HS Wanaque Public Schools WPS High Bridge School District HB Warren County Technical School District WT Hope School District HO Warren Hills Regional School District WH Hopatcong Borough School District HOP Washington Boro School District (Warren) WB Hunterdon Central Regional H.S., District HC Washington Township School District (Morris) WTM Hunterdon County Educational Services HES Washington Township Schools (Warren) WTW Hunterdon Preparatory School HPS West Milford School District WE Immaculate Conception School ICS West Morris Mendham Regional H.S. School District WM Inclusive Learning Academy IL Wharton School District WP Jefferson Township School District JS White Township School District WS Kittatinny Regional School District KI *Every semester this form neds to be filled out. Please return this form to the Student Accounts Office Fax: (908)813-2632 or Email: [email protected] Updated: 5/17/21 Page: 2 of 2