Stamford Public Schools

PARA - Request for Tuition Reimbursement 

Name*
Last five digits from paystub
9 digits from prior approval email

Per Article 17-P of the contract, I hereby apply for tuition reimbursement for the course listed below.  These credits were granted by an accredited college and/or university.    Please include the following attachments to the Human Resources Department via the upload links below.

Class Begin Date *
Class End Date*
$

Proof of Grades print out from college/university website 

Proof of Payment - invoice or printout from school website showing course name, course #, dates/semester and amount paid 

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Today's Date*
:  

Human Resource Department

Prior Approval*
$
Today's Date*
:  
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