APPLICATION FOR PRIOR APPROVAL OF AFSCME
TUITION REIMBURSEMENT ACTIVITIES - AFSCME
APPLICATION PROCEDURES:
1. Courses must be related to the employee’s job and/or courses required for a degree, which is related to the employee’s
job.
2. The combined maximum for reimbursement for professional development and/or tuition reimbursement $1,000.
Tuition reimbursement is for tuition and fees for approved courses only.
3. Completed applications should be submitted to the Office of the Dean of Administration in accordance with the
following deadlines:

August 1for courses being taken during the Fall semester

January 1 for courses to be taken in the Spring semester

May 1 for courses to be taken in the Summer semester
4. Applicants will be informed regarding approval/denial of the request.
5. Following successful completion of the course(s), bargaining unit members must submit a Request for
Reimbursement of Tuition and Fees for Completed Courses form to the Office of the Dean of Administration. The
request must include proof of payment and successful completion of the course(s) with a grade of “C” or better.
PART A: TO BE COMPLETED BY THE APPLICANT
Name:
Title:
College Attending:
Semester:
Course Title
Credit Hours
Total Cost:
Tuition
Fees
$
$
Relationship of the course(s) and/or degree to the job:
Employee Signature: ___________________________________Date______________________
PART B: TO BE COMPLETED BY THE EMPLOYER
Date Application Received:
Comments:
Approved
Authorized Signature:
Notification to Employee (date):
Denied
Date: