College Course Work

College Course Work

Request for Approval and Reimbursement

Pike-Delta-York Local School District

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

Teacher Name *

First Name Last Name

E-mail *

Course Begin Date *

Month Day Year

Course Work Toward (Please select all that apply) *

Re-Certification Master Degree Specialist Degree Semester Hours Quarter 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?

Yes No

Date Approved

Month Day Year

Comments

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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