Education Reimbursement Application
Ivinson's Education Reimbursement Program was created to support the continuing education of Ivinson employees. Employees are eligible to receive up to $2500 per calendar year, as funding allows. Please review eligibility requirements and application details below. For courses, please complete the application on a semester/term basis.
Eligibility: To receive education reimbursement, you must meet all of the following requirements at the time of reimbursement.
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You agree to IMH Policy HW120 Education Reimbursement
You are a benefited employee (0.6 FTE or greater)
You have been employed with IMH for at least 12 consecutive months
You have not received disciplinary action in the last 12 months
You will continue your employment with IMH for at least 12 months in a benefitted status following certification/course completion
Course/certification directly benefits IMH
Request is only for tuition/fees (does not include books, supplies, travel, etc.); Conferences, as well as licenses or certifications required for your job, are not eligible
Name
*
First Name
Last Name
Ivinson Email
*
example@ivinsonhospital.org
Current FTE
*
0.8 to 1.0 FTE
0.6 to 0.7 FTE
Hire Date
*
-
Month
-
Day
Year
Certification/Course Name
*
Upload Certification/Course Description, Documentation, etc.
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Browse Files
Cancel
of
Certification/Course Start Date
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-
Month
-
Day
Year
Certification/Course End Date
*
-
Month
-
Day
Year
Anticipated Cost
*
I commit to continue my employment with Ivinson Memorial Hospital for no less than twelve (12) months in a benefitted status following certification/course completion. I understand that if I fail to meet any of the aforementioned eligibility requirements, I will be required to repay Ivinson Memorial Hospital an amount pro-rated by months worked since certification/course completion.
*
I agree
Submit
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