Tuition Reimbursement Request

Regular, full-time managerial and administrative employees are eligible to apply for reimbursement of up to 50% of tuition costs (less any financial assistance). Reimbursements are capped at $10,000 per company each fiscal year.

Submit this application and requested documentation within 2 weeks of course completion. Reimbursement with we sent within 2 weeks of receipt of request upon approval.

If you have any questions please contact us at 773-442-8260.

Fields marked with an * are required.

Date

Company *

Contact *

Contact Email *

Contact Phone

Participant’s Name *

Participant’s Email *

College/University *

Course Name *

Cost of Course *

Course paid for by: *

Address for reimbursement check to be sent: *

Check one of the following *

Upload payment receipt *

Must include name of school, course and who paid (receipt from school is ideal)

20MB max

Upload course completion OR grade of C or above to receive reimbursement. *

Completion certificate or transcripts are acceptable forms of documentation

20MB max

Please verify that you have checked the “I'm not a robot” checkbox.