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City of Eugene ~ . <br />Request for Educational Aid <br />Reimbursement of the tuition cast of educational courses up to a maximum allowance of the full ,cost per course rr~rill: be made when the <br />following qualifcations are met: <br />The course work must be such that, in the judgmentof the.City, it will be of value to the City and the employee. <br />2. No duplication of reimbursement will be made if'the employee is receiving assistance through other means, scholarship, grant, ; <br />fellowship, G1 Bill, or other government assistance. <br />3. The course must be approved by the Supervisor and Division Manager prior to enrollment. i ~ <br />i 4. evidence o#.satisfactory .completion .pass ar "Q" or above of the course .and receipts #or tuition must be submitted to~the <br />Office Manager prior to reimbursement. . ~ . <br />. ~ 5. No reimbursement for boobs will be provided. <br />6. AFS~ME Employees may request to use a flex schedule to ~alfow: them to attend classes. This flex-time request must not <br />..negatively impact the work group and the employee's timeshee#. must still, equal forty hours worked within each work weep, <br />1. Funding level will be determined by benefit to the City, .relationship of the course to the employees current duties or formal <br />career developmen# plan and the availability of funds. <br />. f have discussed the above informaa'on with my supervisor and. understand the guidelines listed above. I further understand that I' must remain employed by the City of Eugene far one <br />year after the completioa of this course, or f must refund to the City SU% of the tuition r <br />assistance received through a payroll deduction. ff my employment is terminated due to a reduction in farce, this repayment provision win <br />be waived. <br />Employee~Signature Date ~ `Supervisor Sigiuature Date <br />Name: <br />Department: Jab Tine: ~ . <br />Title of Courses}: ~ . <br />Name of School: <br />Date Course Begins: Approximate Completion Date: <br />Estimated Tuition Costs:. <br />Please provide a ~s~hort description of the~class, liow it~ts into your training career and ar personal development goals and what ~ knowledge, skills and abilities you intend to learn: <br />. This course ~u not benefit the City. Not approved for reimbursement afi this time. . <br />o This course will benefit the City; adequate funds have been. budgeted for this expenditure. <br />Authori~ed~ Amount of Aid: $ <br />. ~ Supervisor: ~ ~Departmant Head: <br />.Original: HRRS -Employee Personnel File ~ ~ rev 5197) <br />.One copy each ta: Department 8~ Employee <br />, ~ ~ ~ ~ Page S of 1D <br />. <br />. . . . . . . . . . . . . . . . . . . . . . <br />