Associate Staff Educational Reimbursement Program EDUCATIONAL REIMBURSEMENT PROCEDURES Section 1. General This procedure establishes an Educational Expense Reimbursement program for eligible employees of the West Virginia Department of Education. Section 2. Purpose 2.1. The intent of this procedure is to support educational efforts that will contribute to the Department of Education's future success and the professional growth of its associate employees. The Department shall reimburse full-time associate employees for their educational expenses subject to the terms and conditions of this procedure. The funds shall be expended in a fair and equitable manner consistent with the mission of the Department of Education and its present and future staffing needs. Section 3. Stipulations and Restrictions 3.1. An eligible employee is one who is employed full-time as associate staff for the Department of Education, Cedar Lakes Conference Center, or Institutional Education Programs and is paid on an associate staff salary schedule. 3.2. and Blind. This procedure does not apply to employees of the School for the Deaf 3.3. An eligible employee shall receive educational assistance only for approved courses of study that are job related (courses of study that enhance and/or expand the knowledge and/or skills necessary to perform the employee’s current job) and lead to the completion of a program in college, university, technical, business, high schools offering adult programs, trade school, or other educational institution approved by the Department of Education. 3.4. Reimbursement shall not include workshops, seminars or training that does not lead to the completion of a program. 3.5. The Department of Education shall authorize office Executive Directors to adjust work schedules to permit employees to pursue educational endeavors. Classes should be taken during non-work hours. However, if an employee must take a requisite class offered only during work hours, the employee shall meet with his/her Supervisor/Executive Director to agree upon adjusted/flex hours or approval of annual leave. 1 Revised 3/13/2006 Associate Staff Educational Reimbursement Program Section 3. Stipulations and Restrictions (Continued) 3.6. Class-related work is prohibited during office hours. 3.7 Reimbursement is not available for graduate credit. 3.8. The provisions of this procedure do not apply to any courses, classes or programs taken before July 1, 1998. Section 4. Advanced Authorization 4.1. An Application for Advanced Authorization Form (Form 1) shall be completed prior to the start of class(es) and shall be approved by the Office of Human Resources, the employee's office Executive Director, the Executive Director of Internal Operations, and the Deputy Superintendent or State Superintendent. Section 5. Reimbursement 5.1. Expense reimbursement for eligible employees shall be based upon available funds. 5.2. Funds to reimburse Department of Education associate staff shall be provided by the Office of Internal Operations. 5.3. Funds to reimburse Institutional Education Programs eligible staff employed outside the Capitol Complex shall be provided by the Office of Institutional Education Programs. 5.4. Funds to reimburse Cedar Lakes Conference Center eligible staff shall be provided by the Division of Technical and Adult Education Services. 5.5. Expense reimbursement is limited to tuition, mandatory registration, activity fees, required testing fees (5.6 & 5.7) and textbooks (5.8). 5.6. Employees shall be reimbursed for the fees associated with one (1) Scholastic Achievement Test (SAT) or one (1) American College Test (ACT). 5.7. Tests to earn college credits by examination offered by the College Level Examination Program (CLEP) will be reimbursed upon successful completion. 5.8. Textbooks shall be reimbursed at $100.00 maximum per class. 2 Revised 3/13/2006 Associate Staff Educational Reimbursement Program Section 5. Reimbursement (Continued) 5.9. Reimbursement for tuition and mandatory fees at an out-of-state or private institution of higher education shall not exceed the highest tuition and fees for undergraduate courses at a West Virginia publicly supported institution of higher education. 5.10. An employee may not seek reimbursement for expenses covered under financial aid. 5.11. Reimbursement shall not exceed nine (9) credit hours per semester. 5.12. An employee shall receive at least a grade of "C" or its equivalent for undergraduate courses or business or accredited trade courses to qualify for reimbursement. 5.13. Expenses incurred for items such as calculators, computers, microscopes, recorders, parking, licensing or accreditation fees, late registration penalties, etc., shall not be reimbursed. 5.14. A Request for Expense Reimbursement Payment Form (Form 2), with required signatures, shall be submitted to the Executive Director of Internal Operations within 30 days following receipt of the final grade. A copy of the approved Application for Advanced Authorization Form (Form 1); a copy of grade report or transcript and/or certificate of completion; and a copy of receipt for tuition, fees, and/or textbooks shall be attached. Section 6. Disclaimer 6.1. The Department of Education, Cedar Lakes Conference Center or Institutional Education Programs is not obligated to promote, transfer or in any way advance an employee after he or she has successfully completed any courses of study under this plan. Section 7. Effective Date 7.1. This procedure is effective July 1, 1998 for Department of Education employees; Cedar Lakes Conference Center and Institutional Education Program employees are eligible beginning Summer Semester 2006; Revised March 13, 2006. 3 Revised 3/13/2006 Associate Staff Educational Reimbursement Program Application for Advanced Authorization EMPLOYEE NAME: SOCIAL SECURITY #: OFFICE: JOB TITLE: OFFICE ADDRESS: OFFICE PHONE: SCHOOL INSTITUTION (Name and Address): □ FALL SEMESTER □ SPRING SEMESTER □ SUMMER 1 SEMESTER □ SUMMER 2 st nd SEMESTER DATE(S) OF ATTENDANCE: TYPE OF DEGREE PROGRAM TITLE OF DEGREE PROGRAM: □ TITLE OF CLASSES: □ TUITION (5.9) $ □ REGISTRATION FEES (5.5) $ □ SAT FEES (5.6) $ □ ACTIVITY FEES (5.5) $ □ ACT FEES (5.6) $ □ TEXTBOOKS (5.8) $ □ CLEP FEES (5.7) $ □ AS BA OTHER: (Describe): TOTAL AMOUNT REQUESTED $ A. Have you applied for financial aid from any other source? (5.10) □ YES □ NO B. Have you been approved for and/or received financial aid from any other source? (5.10) □ YES □ NO C. If yes to A or B, describe in detail the source(s) and amount(s). Attach additional pages if necessary. □ YES □ NO EMPLOYEE SIGNATURE: □ BS DATE: 1. Executive Director of Human Resources Signature Date: 2. Applicant’s Office Executive Director/OIEP Superintendent Signature Date: 3. Executive Director of Internal Operations Signature Date: This signature indicates the Executive Director of Human Resources verifies the application submitted adheres to WV Department of Education’s Associate Staff Educational Reimbursement Program Procedures. This signature indicates the applicant’s Executive Director agrees to stipulations and restrictions for expense reimbursement as noted in Section 3 of the Associate Staff Educational Reimbursement Program Procedures. This signature indicates that the Executive Director of Internal Operations has verified that there is adequate funding to cover the requested reimbursement amount. 4. Deputy Superintendent of Schools Signature Date: This signature indicates final approval of the Application for Advanced Authorization. Secure each signature and maintain approved Form 1 for later use. Section 5 – 5.14 requires that Form 1 be attached to the Request for Educational Expense Reimbursement Form (Form 2). Form 1 Revised 3/13/2006 Associate Staff Educational Reimbursement Program Request For Educational Expense Reimbursement Payment EMPLOYEE NAME: SOCIAL SECURITY #: OFFICE: JOB TITLE: OFFICE ADDRESS: OFFICE PHONE: SCHOOL INSTITUTION (Name and Address): □ FALL SEMESTER □ SPRING SEMESTER □ SUMMER 1 SEMESTER □ SUMMER 2 st nd SEMESTER DATE(S) OF ATTENDANCE: TYPE OF DEGREE PROGRAM □ TITLE OF DEGREE PROGRAM: □ □ AS □ BS BA OTHER: (Describe): 9 ACTIVITY FEES (5.5) EXACT TITLE(S) OF COURSE(S) WITH COURSE NUMBER(S) TUITION (5.9) GRADE REGISTRATION FEES (5.5) 9 SAT FEES (5.6) TEXTBOOKS (5.8) TOTAL AMOUNT REQUESTED 9 ACT FEES (5.6) 9 CLEP FEES (5.7) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ EMPLOYEE SIGNATURE: DATE: OFFICE EXECUTIVE DIRECTOR/OIEP SUPT.: DATE: EXECUTIVE DIRECTOR, INTERNAL OPERATIONS: DATE: DEPUTY SUPERINTENDENT: DATE: Send to: Attach to this Form: (5.14) WV Department of Education Executive Director, Internal Operations Building 6, Room B-204 1900 Kanawha Boulevard, East Charleston, WV 25305-0330 Approved Application for Advanced Authorization Form (Form 1) Copy of grade report or transcript and/or certificate of completion Copy of receipt for tuition, fees, and/or textbooks Form 2 Revised 3/13/2006