Get Tuition Reimbursement Application Form

Filling out the tuition reimbursement application form online is a crucial step for users seeking financial support for their nursing education. This guide provides straightforward instructions for completing each section of the form accurately and efficiently.

Follow the steps to successfully complete your application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your last name and first name in the designated fields. Ensure that all entries are legible and free of errors.
3. Input your employee number in the appropriate section. This is necessary to identify your application within the organization.
4. Fill in the item number if applicable. This information helps in categorizing your application.
5. Provide your mailing address, work location, work address, work phone number, and home phone number. Accurate contact information is essential for communication regarding your application.
6. Indicate the educational institution you are currently attending by entering the full name of the school in the relevant field.
7. Select the program you are enrolled in from the options: Bachelor's Degree in Nursing, Master's Degree, or Doctoral Degree. Specify the program by filling in the respective section.
8. Attach a list of required classes or courses you are planning to take. For each course, fill out the title, course number, and start and end dates using the MM/DD/YY format.
9. Indicate the days on which your course meets by selecting the appropriate boxes (S, M, T, W, TH, F, S).
10. Input the number of units for each course, and provide a brief course description in the designated section.
11. State the registration fee in the provided field. Ensure that the amount is accurate to avoid processing delays.
12. Answer whether you are eligible for reimbursement through veteran's benefits and, if applicable, attach the necessary documents.
13. Sign and date the form in the employee signature section to validate your application.
14. The nurse manager or supervisor must review and sign to recommend approval for your application. Provide their title and print their name where required.
15. Submit the completed form to the facility designee office as indicated in the instructions. Ensure that all information is complete and accurate.

Start filling out your tuition reimbursement application form online today for faster processing.