Form 1000 - Tuition Assistance Request Form
This form should be completed around the time or prior to a class commencing.
Name
*
First Name
Last Name
Email (Must be RCSD Email)
*
example@rcsd.ca
Employee # (5-digit # found on RCSD Earnings Statement)
*
example 12345
Administrator Email
*
example@rcsd.ca
Years Taught with RCSD:
*
What type of contract are you on?
Temporary
Replacement
Continuing
Name/Title of Course
*
Name of Institution/University
*
What are you hoping to gain from this course? Describe the potential impact on your classroom.
*
What are you hoping to gain from this course? Describe the potential impact on your classroom.
*
Starting Date
*
-
Month
-
Day
Year
Date
Ending Date
*
-
Month
-
Day
Year
Date
Professional Development Funds Requested
Class Cost:
*
Requested Reimbursement: (Max $500.00)
*
Submit
Should be Empty: