Tuition Approval Application
Employee Information
Name
*
Name
First
First
Last
Last
Email
Department
*
Job Title
*
Employee Status
*
Full-Time
Part-Time (greater than 20hrs/wk)
Date of Hire
*
Manager's Name
*
Manager's Name
First
First
Last
Last
Course Information
Full-Time Employees are eligible up to 2 courses. Part-Time Employees (greater than 20 hours/week) are eligible for 1 course.
Name of Educational Institution
*
Address of Educational Institution
*
Course 1 Semester/ Year
*
Course Name
*
Credit Hours
*
Cost Per Credit Hour
*
Course Date From
*
Course Date To
*
Days/Times
*
Course 2 Semester/ Year
Course Name
Credit Hours
Cost Per Credit Hour
Course Date From
Course Date To
Days/Times
Total Amount for Request
*
Please explain how the above course(s) relate to your current role:
*
Agreement
I understand that any educational assistance received must be reimbursed to Harvest Bible Chapel in the event of voluntary separation of employment if within 12 months from the date of hire or from the date of the course completion.
Signature
*
signature
keyboard
Clear
Date
*
Attach a copy of your registration for course(s) for which this reimbursement is requested.
*
Drop a file here or click to upload
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Maximum file size: 134.22MB
HR Pre-Approval
Approved by HR
Yes
No
Pending
Grade Upload
File Upload
Drop files here or click to upload
Choose Files
Maximum file size: 134.22MB
Reimbursement Approved by HR
Yes
No
Pending
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