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Stamford Education Association 

Prior Approval for Tuition Reimbursement

Please review guidelines here 

Employee ID (Last 5 digits from paystub)
Please select semester

Per Article 20F of the contract, I hereby apply for prior approval for tuition reimbursement for the graduate course(s) listed below:

Course Start Date*
Course End Date *
Use your mouse or finger to draw your signature above
Today's Date

Human Resources Approval

For email to teacher
Today's Date
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