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)
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?
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