College Course Work

College Course Work Request for Approval and Reimbursement

*For reimbursement, coursework must be approved by the Superintendent prior to beginning the course.
Teacher Name*

First NameLast Name
E-mail*
example@example.com
Course Begin Date*

MonthDayYear
Course Work Toward (Please select all that apply)*

Re-CertificationMaster DegreeSpecialist DegreeSemester HoursQuarter Hours
Name of Course*
Number of Course*
Name of University*
Credit Hours
Hourly Tuition Rate*
State briefly how this course will improve your competency in your present assignments in the Pike-Delta-York Local School District*
Supervisor Approval Code
Approved?

YesNo
Date Approved

MonthDayYear
Comments
None
Reimbursement will be the full cost of semester hour tuition, quarter tuition, or at a lower rate equal to that to be paid all teachers within maximum total expenditure approved by the Board of Education for this purpose. (Article VIII L.10.)
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College Course Work Request for Approval and Reimbursement