Tuition Reimbursement From Step 3
This form is for submission of your education assistance requests. You must be pre-approved to use this form. The Employee Tuition Reimbursement Program provides reimbursement of tuition for classes at any accredited higher educational institution. This program provides reimbursement of tuition up to $2,000 per fiscal year for regular, benefit eligible employees. If the reimbursement form and supporting documents outlined on the form are not uploaded, your reimbursement will be delayed. If you need assistance, or have any questions, please contact us at 361.826.3300.
Employee Name
*
First Name
Last Name
Employee ID
*
Supervisor Name
*
First Name
Last Name
Supervisor Email
*
example@cctexas.com
School Name
*
Course Name
*
Course Number
*
Course End Date
*
-
Month
-
Day
Year
Date
Type of Degree
*
GED/High School Diploma
Associates Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Other
Back
Next
Submit
Today's Date
*
-
Month
-
Day
Year
Date
Grade
*
Please Select
A/Pass - $500
B - $350
C - $250
Other
Any Financial Assistance Received? (does not include student loans)
*
Yes
No
Amount of Financial Aid Received (Do not include any student loans) If none, enter 0.
*
Tuition Costs. Enter 0 if none.
*
Books Costs. Enter 0 if none.
*
Fees. Enter 0 if none
*
Total Educational Expenses. This field will auto-calculate.
Upload: Course Information, Final Grades and Receipt
*
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