Harvest Deploy Reimbursement Form

Harvest Deploy – Staff Reimbursement Form

Thank you for investing in your growth for the good of others and the Glory of God!
To be reimbursed for a completed semester, please complete the form below. If you have questions, contact Kyle Meeker.

Name

First

Last

How many semesters have you completed so far?

Including current semester, how many modules have you completed while enrolled in Harvest Deploy?

Including work that may have transferred in, how many total modules have you completed?

For which semester and year are you applying for reimbursement? For which semester and year are you applying for reimbursement?

How many modules did you complete in the current semester?

List each Competency and Module completed in the most recent semester, including grades.

Competency Name

Competency Number

Module Number

Module Grade

Competency Name

Competency Number

Module Number

Module Grade

Competency Name

Competency Number

Module Number

Module Grade

Competency Name

Competency Number

Module Number

Module Grade

Competency Name

Competency Number

Module Number

Module Grade

Competency Name

Competency Number

Module Number

Module Grade

Please provide a screenshot that includes the modules and grade for the most recent semester.

Maximum file size: 134.22MB

Using the table above enter amount for which you are requesting reimbursement:

If you are human, leave this field blank.

Harvest Deploy – Staff Reimbursement Form

List each Competency and Module completed in the most recent semester, including grades.

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