Candidate Reimbursement Form

Candidate Reimbursement Form
Is this your first or second interview?*

First InterviewSecond Interview
Name*

First NameLast Name
Email*
example@example.com
Address to Send Reimbursement*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
The College shall reimburse up to $500 for necessary travel expenses for candidates who have traveled 250 miles or more one way from their residence to the campus location where the interview is scheduled. Original receipts for lodging, carrier expenses, and meals must be submitted for reimbursement.

Applicant shall submit to Human Resources this form and provide all required documentation, within thirty (30) calendar days of completing travel, to be eligible for reimbursement. Exceptions will be determined by the Associate Vice President of Human Resources in consultation with the appropriate hiring managers.
Travel Expense Details

The following expenses were incurred as a result of traveling to Mid Michigan College.
Mileage Traveled
Enter the number of miles traveled in your own vehicle.
Mileage Cost
Enter the total cost associated with any mileage. The College will reimburse mileage per mile at 80% of the current IRS rate.
Air Travel Cost
Enter the total cost associated with any air travel.
Other Transportation Cost
Enter the total cost associated with any other transportation such as rail, bus, or rental vehicle.
Meal Cost
Enter the total cost associated with any meals excluding alcohol.
Lodging Cost
Enter the total cost associated with any lodging.
Miscellaneous Cost
Enter the total cost associated with any miscellaneous expenses. Entering a total cost in this field requires an itemized document to be uploaded itemizing the expenses.
Attach original receipts of your expenses. If submitting miscellaneous expenses, include an itemized list of those expenses as well. *

Browse Files
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Date*

MonthDayYear
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Strategic Communications at (989) 386-6622 x579 or stratcomm@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibits any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

Candidate Reimbursement Form

Travel Expense Details