Tuition Reimbursement Application

Tuition Reimbursement Application
Please review the Tuition Reimbursement Policy before submitting your application. If you can't view the policy below, please click the link below that is underlined "Tuition Reimbursement Policy".
Name

First NameLast Name
Email

Confirmation EmailYou will receive a confirmation to this email and status updates.
Location
Current Position
Have you been a full-time employee for at least six months with Serrato Corporation?
You have to be employed as a full-time employee for 6 months with Serrato Corporation to apply for Tuition Reimbursement. You can continue submitting this form for communication purposes only.

By submitting this form, you are not submitting for Tuition Reimbursement.
Name of the School Attending
Name of the Degree or Program
Course Level

Other
Semester
Is this application being submitted before the class starts?
If no, please explain the reason why this application is being submitted after the class has started.
It is policy that applications are submitted before the class starts. Provide a reason why this application is being submitted after. Please note that the application may not be approved.
Class(es) Starts

MonthDayYear
*Classes MUST be in the same school semester. Ex Spring, Summer, Fall. Use the date when first class starts.
Class(es) Ends

MonthDayYear
Course Title 1
Include Course Number if applicable
Add a Second Class?
Course Class 2
Include course number if Applicable
Add a Third Class?
Course Class 3
Include course number if applicable
Add a Fourth Class?
Course Class 4
Include course number if applicable
How does the proposed course(s) relate to your job assignment/position and how will the course(s) provide knowledge and improve your performance?
Will your school schedule interfere with your work schedule or will your hours need to be adjusted?
If yes, please explain how your school schedule interferes with your work schedule.
Total Costs of Classes/Tuition
Total cost of classes and can add eligible expenses (e.g., required books/materials). Receipts are required; without a receipt, payment will not be processed.
Total Cost of Classes/Tuition
Total Cost of Books, Materials, or Other Eligible Expenses
Method of Payment

Other
Please make sure all files are attached, by uploading the files below.
Please attach an itemized statement of tuition and fees to this application.

Cancelof
By checking the boxes, you agree to to the Terms and Conditions.
Additional Comments?
Employee Signature
Date Submitted

MonthDayYear
Please wait until you see "Thank You" screen. This can take up to 1 min to fully submit.
Should be Empty: