ContractTuition Reimbursement Agreement • July 11th, 2019
Contract Type FiledJuly 11th, 2019Employee Information Employee Name: Employee Number: Employee Work Location: Course Information Name of College/University: Course Title: Course Number: Number of Credits: Level: Graduate Undergraduate Course Start Date: Course End Date: I am taking this course as Cost per Credit: Total Course Cost: part of an approvedMaster's program. *Please note: The negotiated agreement states only tuition costs are reimbursable. All other expenses such as application fees, registrations fees, lab fees, out-of-county fees, technology fees, books, parking permits, etc… are not reimbursable. Authorization By signing this request, I agree that:• I have read and understand the Course Reimbursement language in the current Negotiated Agreement under which I am covered, and will not receive reimbursement without prior written approval from Human Resources.• I must notify Human Resources immediately if the course is dropped or canceled.• I must complete the course and receive