Tuition Assistance Application - AeroVironment, Inc.



Application for Tuition Assistance(to be completed by employee prior to enrollment)Employee Name: FORMTEXT ?????Employee #: FORMTEXT ?????Position / Title: FORMTEXT ?????Department #: FORMTEXT ?????Program Type:?Under Graduate?Graduate?Certificate?Non-DegreeName of Institution: FORMTEXT ?????Name of Degree Program: FORMTEXT ?????Course InformationCourse Title: (complete per semester/term)Start Date:End Date:# Credits: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????**Use separate form for additional coursesCost EstimatesTuition:Books:Lab Fees:Examination Fee:Other Course required Fee:Description of Other:$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????I am? I am not ? entitled to or are receiving educational aid from Federal or State agencies or any other source. If receiving educational aid, disclose amount here: $ FORMTEXT ?????I am? I am not ? receiving financial aid. If receiving financial aid, disclose amount here: $ FORMTEXT ?????Employee Signature:Date: FORMTEXT ?????Approvals?Approved?DeniedDenial Reason: FORMTEXT ?????Manager Name: FORMTEXT ?????Manager Signature: FORMTEXT ?????Date: FORMTEXT ??????Approved?DeniedDenial Reason: FORMTEXT ?????Dept. VP Name: Dept. VP Signature:Date: FORMTEXT ??????Approved?DeniedDenial Reason: FORMTEXT ?????P&C Name: FORMTEXT ?????P&C Signature: Date: FORMTEXT ?????Description of Approved Assistance (to be completed by HR only)Approved Coverage $: FORMTEXT ?????List of required supporting documentation:(documentation must be obtained from the institution with their name listed on the print outs)Institution Information – name, address, phone FORMCHECKBOX Program Description – including number and names of courses required to achieve the degree/certification FORMCHECKBOX Detailed breakdown of Cost – including cost per unit FORMCHECKBOX List of required books and cost – if known (will be required when seeking reimbursement). If unknown – list estimate FORMCHECKBOX Brief description of course – including course name, overview of course, start and end date, number of units. FORMCHECKBOX List of required additional fees – including labs, examinations FORMCHECKBOX Instructions:To obtain approval:Complete Tuition Assistance formObtain all required backupObtain Manager approvalObtain Business Unit VP approvalProvide complete form and back up to P&C for approval prior to class registrationTo receive reimbursement:Obtain course grade – B or betterComplete expense reportAttach fully approved Tuition Assistance Form, all required backup, receipts showing proof of payment, grade to expense reportSubmit for approval ................
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