Form 1000 - Tuition Assistance Final Form
Only complete this form for a class that has been pre-approved and completed.
Name
*
First Name
Last Name
Email (Must be RCSD Email)
*
example@rcsd.ca
Employee # (5-digit # found on RCSD Earnings Statement)
*
example 12345
I completed and had approved the Tuition Assistance Request Form prior to beginning this course:
*
Yes
No
Name/Title of Course
*
Name of Institution/University
*
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Please upload proof of payment and proof of completion/passing. Reimbursement cannout be processed without both proof of payment and proof of completion/passing.
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Starting Date
*
-
Month
-
Day
Year
Date
Ending Date
*
-
Month
-
Day
Year
Date
Professional Development Funds Requested
Requested Cost (Max $500.00)
*
Teacher Signature:
RCSTA USE ONLY
Total Payable to Teacher:
RCSTA Approval:
Date:
Budget Code:
Submit
Should be Empty: