Human Resources Department
Course Approval and Tuition Reimbursement

PLEASE READ THE DIRECTIONS CAREFULLY BEFORE SUBMITTING YOUR REQUEST. FAILURE TO FOLLOW THE DIRECTIONS MAY DELAY THE APPROVAL PROCESS.

SPRING 2009

IMPORTANT INSTRUCTIONS - PLEASE READ
*To expedite the process, please complete ALL categories listed below - Review information before submitting.
*Complete one online form for each course taken.
*When you click the Submit Data button below, you will get an online submission receipt.
*Click the Submit Data button only once.
*DO NOT use your browser back button to return to this page after the Submit Data -
doing so may cause errors in processing your request.

 
(FALL & SPRING ONLY) IMPORTANT NOTICE REGARDING RIDER UNIVERSITY TUITION BANK REQUESTS
  • Please indicate under CLASS FORMAT
  • Tuition, Fees, Books
    ------Tuition will be zero (type the number 0 in the tuition field below)
    ------Fees - $35
    ------Books - up to $100

    For our records - students participating in the RIDER TUITION BANK must complete a course completion form regardless of reimbursement status for books and/or fees.
    • First Name
    Last Name
    EMail
    School/Location

    Dutch Neck
     Hawk
    Town Center
    Wicoff
    Millstone River
    Village
    Community MS
    Grover MS
    HS North
    HS South
    Board Office
    Special Services
    Transportation
    Other     (Describe in RATIONAL FOR TAKING COURSE field)

    Position

    Teacher (all staff working under a teacher contract - this includes CST members)
    Support Staff     (all non-certificated staff)
    Administrator
    College/University

    Include name of college/university & location (city/state)
    Course Title
    Credits

    Number only for one course (example: 3, 6, etc.)
    Request for course approval will be accepted no earlier or later then the dates listed below!
    Semester

    Semester / Approval window Spring 2009 (November 15 - January 15)

    Course End Date
    Use Date Format - XX/XX/07 example: 04/01/08
    Request for reimbursement accompanied by documentation must be made within 90 days of the completion date.
    Course Format

    Course Format - CHECK ONE
    Traditional

    Rider Tuition Bank Couse (FALL & SPRING ONLY)
    (zero (0) for tuition, $35 fees, up to $100 for books)

    Internet
    (special approval needed by the Superintendent or their designee)

    Hybrid (Blend of face-to-face instruction & online learning)
    (special approval needed by the Superintendent or their designee)

    Independent Study

     Videotape

    Dollar amounts for tuition, fees and books should be as accurate as possible.
    Final reimbursement request total cannot exceed the amounts listed below.
    Do not include a $ in your entries. You will get an error!
    INTEGERS ONLY (no decimals) - Type 0 (zero) if no cost

    Tuition Estimate

    		$
    Do NOT include an additional $ sign
    Fees Estimate
    		$
    Do NOT include an additional $ sign
    Books Estimate
    MAXIMUM $100 per semester
    		 $
    Do NOT include an additional $ sign
    Required
    Rationale for taking course


    Include website location of course description if available.

    Once you click the Submit Data button - DO NOT use your browser back button to return to this page. Doing so may cause errors in processing your request. If you have problems submitting the form, please email Debra.Resch@ww-p.org. Please include your request data and describe the problem.

    When you hit the Submit Data button, the information from your form is emailed directly to Alicia Boyko, as well as submitted and saved to an online data base

    Site created with ColdFusion & Macromedia DreamWeaver
    by Debra Resch, CMS Technology Education Facilitator

     

     

    . admin