SAU Prior Approval & Reimbursement Form Header Image

Stamford Administrative Unit 

Prior Approval for Tuition Reimbursement


Please review guidelines here

Per Article 11 of the contract, I hereby apply for prior approval for tuition reimbursement for the course(s) listed below.  I understand that available tuition will be allocated among all interested administrators who meet the deadlines. 

Course Start Date*
Course End Date *
$
for this semester

Description Area

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Today's Date *
:  

Human Resources Prior Approval

$
Today's Date
:  

SAU Request for Tuition Reimbursement

Stamford Administrative Unit 

Request for Tuition Reimbursement Funds

Per Article 11 of the contract, I hereby apply for tuition reimbursement for the course(s) listed above.  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:

 

Proof of Grades print out from college/university website 

Proof of Payment - copy of canceled check, credit card receipt, evidence of student loan or print out from college/university website 


(Your request will not be processed until proof of grades and payment are received- if you can't attach, please fax concurrently to (203) 977-4325 or email to BOE.HRGenInfo@StamfordCT.Gov) 


Proof of Grades
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Proof of Payment
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Do you have any additional documents you need to upload?
Additional supporting documents
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Additional supporting documents
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Use your mouse or finger to draw your signature above
Date/Time
:  

Human Resources Funds Approval

Funds Approval *
$
Date/Time
:  
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