Atlantic Cape Community College Short form: Application for Tuition Reimbursement This form is to be used by applicants in a continuing program of study.
Name of Applicant: _________________________________________________________
Division (or Department)/Association: ___________________________________________
Trimester: Write appropriate year in front of Trimester.
_____Fall _____Spring _____Summer Date Course begins: ___________________ Date Course ends: ___________________
study previously approved. _______________________________ C. Signature of applicant: _________________________________ D. Date received by committee: _____________________________ E. Committee action: _____________________________________ Notes: Maximum award per semester is $1000. This depends upon the monies available and is not guaranteed.
Application Deadline:Applications can be submitted as soon as coursework for the Academic Year is known. Applications MUST be submitted to the committee BEFORE registration.All application materials, including payment receipt, course description, and final grade(s), MUST be submitted within 15 days after the last day of classes in order to be eligible for reimbursement.
