School District of Philadelphia
THE SCHOOL DISTRICT OF PHILADELPHIA
CAREER DEVELOPMENT FUND PROGRAM
CRITERIA FOR TUITION REIMBURSEMENT
1. Appointed Secretary, School Operations Officer, Paraprofessional, Non-Teaching Assistant, and the Professional-Technical Unit.
2. Approved Long Term Substitute for period of approved long-term status.
(No summer unless there is previous approval, i.e., secretary.)
3. Must take college level courses at an accredited college or university. Video or correspondence courses will not be approved for reimbursement.
4. Must secure grades for college credit (“C” or above or “Pass” with qualifying statement of average or course status) as evidence of successful completion.
5. Collegiate grants or approved stipends granted by the collegiate institution will be deducted.
6. All courses must be related to the field of education or educational support fields.
7. Fees incurred for advanced credits granted by a university are not reimbursable. The program reimburses only for actual courses taken and completed during the academic time of Spring 2013 though Fall 2013 with a passing grade of “C” or better.
8. No payment is made for a transcript evaluation, books, and other fees charged by the university.
9. Practicum or field experience must be taken outside of applicant’s regular working hours unless on approved leave of absence or sabbatical leave.
THE SCHOOL DISTRICT OF PHILADELPHIA
APPLICATION FOR TUITION REIMBURSEMENT
Spring 2013 though Fall 2013
Employee Name:______________________________ EIDN: __________________________
Home Address: _______________________________ Home Telephone: ___________________
_____________________________________________ Work Location Name: _______________________
City
Work Location Number: _____________________
____________________________________________
State Zip Work Telephone: ___________________________
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Job Classification, Check One:
Secretary ___ Paraprofessional ___ NTA ___ Prof-Technical ___ School Operations Officer ___ Other ___
Eligibility: Tuition reimbursement is provided for secretaries, school operation officers, paraprofessionals, non-teaching assistants, and staff from the professional-technical bargaining unit in the Agreement between The School District of Philadelphia and the Philadelphia Federation of Teachers, Local 3, American Federation of Teachers AFL-CIO. (Sec.XIII.H.1-4)Reimbursement is not given for tuition covered by grants received from another program.
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Current Enrollment: List all completed courses. Check one: Associate Degree ____ Undergraduate ____
|Course Title and Number | | 2013 Semester |Tuition Per Credit | |
| |Name of College University |Spring Summer Fall |Hour |Total Credits |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
Amount of Tuition Reimbursement Requested $ ____________________________
Amount of Grants Received from Other Sources $ ___________________________
Matriculated Student: Yes___________ No ___________
I hereby acknowledge that the information listed above is accurate.
Date:____________________ Applicants Signature______________________________________________
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For Office Use Only
____ Approved ____ Disapproved Total ________________________
Reviewed by _________________________ Signature ________________________________ Date ________
THE SCHOOL DISTRICT OF PHILADELPHIA
Authorization to Release Financial Aid Information
PART II MUST BE COMPLETED BY THE COLLEGE/UNIVERSITY
EVEN IF YOU DID NOT RECEIVE FINANCIAL AID
PART I.
TO: Financial Aid Office of __________________________________________________________
(Name of College/University)
I hereby give you permission to release information to The School District of Philadelphia regarding financial aid that I have received, or am receiving, to be included with my application for tuition reimbursement for the period of 1/01/13 through 12/31/13. This certification is necessary whether you have or have not receive any financial aid and must be signed by the college or university official in order to have your application processed.
______________________________________________ _____________________________________________
Last Name First Name Maiden Job Title
______________________________________________ _____________________________________________
Address School/Office
______________________________________________ _____________________________________________
City State Zip School/Office Phone Home Phone
______________________________________________ _____________________________________________
Employee Identification Number (EIDN) Students Signature
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PART II.
TO: The College/University – Please complete this portion and return to Ms. Deborah Schultz, The School District of
Philadelphia, Education Center, 440 North Broad Street, (Portal D) Suite 222, Philadelphia, PA 19130.
The above-named student did _______ did not ______ receive financial aid.
Spring 2013 Summer 2013 Fall 2013
GRANTS: Pell Grant ________________ ________________ ________________
PHEAA ________________ ________________ ________________
SEOG ________________ ________________ ________________
TOTAL GRANTS ________________ ________________ ________________
LOANS: Guaranteed Student Loan ________________ ________________ ________________
National Direct Student ________________ ________________ ________________
College University ___________________________________________________ Phone No:______________________
Signature______________________________________________ Title ____________________ Date ______________
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