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Tuition Aid Request
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Date
Date
Tuition Aid Policy Information
Syracuse City offers tuition aid to full-time, non-probationary employees who wish to continue their education. Tuition aid requests must be for courses of study that are related to the employee’s position with the City and approval of tuition aid requests is subject to the availability of funds. Tuition aid request must be submitted for approval prior to the start date of the course(s) for which the employee is requesting tuition aid. Approved tuition aid requests will be paid to the requesting employee as provided in section 16.060 (c) of the Syracuse City Personnel Policies and Procedures Manual. Employees who receive tuition aid will be required to return any aid received if they terminate their employment with Syracuse City within one year after receipt of said tuition aid.
Employee Information
Name
Employee Number
Department
Job Title
Date of Hire
Date of Hire
Supervisor
Course Information
Educational Institution
Course Number
Course Description
Estimated Tuition Expense
Copy of Any Related Receipts
Employee Signature
Yes
I hereby request approval for tuition aid as described. By checking yes, I am submitting my online signature.
Date
Date
Approval
Approved
Unapproved
Approval Details
Approval Signatures
Supervisor
Date
Date
Department Head
Date
Date
City Administrator
Date
Date
Tuition Aid Payment Information
To Be Completed upon Employee's Completion of Courses
Were the courses for which tuition aid was requested completed with a “C” grade or better?
Yes (Eligible for tuition and payment)
Some
No (Not eligible for tuition aid payment)
A Copy of the Employee’s Transcript Must Be Attached
If More Than One Course Taken, Please Specify Which Were Completed
Courses Completed with a "C"
If “Yes” above, please indicate which course(s) were completed with a “C” grade or better, the grade received in each course, and the related percentage of aid that the employee is eligible for each course (refer to section 16.060 (c) for reimbursement percentage).
Document Upload
For Human Resources Use Only
Has the employee received any other tuition aid during the current fiscal year?
Yes
No
Amount Received
Total Amount of Reimbursement for Which the Employee Is Eligible in the Current Fiscal Year
Total Amount of Reimbursement for Which the Employee Is Eligible on This Request
Total Amount of Reimbursement to Be Provided to the Employee
Date the Reimbursement Was Paid out to the Employee
Date the Reimbursement Was Paid out to the Employee
Reimbursement Processed By
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