Wufoo
MCPS Tuition Agreement
(Effective November 18,1996)
A. Guidelines:
1. A certificated employee who is placed in a position for which the individual is not fully endorsed may apply for tuition assistance.
2. The purpose of the tuition assistance is to pay for
only
the tuition costs for the required specific endorsement content courses.
3. No assistance will be provided for textbooks or for other miscellaneous fees.
4. No tuition assistance will be available to meet the general education, professional studies, or recertification requirements.
5. For every three - semester hour course payment to unendorsed employee agrees to perform one year of service for the school system
after
the completion of the endorsements requirements in the area for which the expenses were paid.
6. An employee will be required to reimburse the school system the paid tuition costs plus the prevailing rate of interest on those tuition costs if
either
of the following conditions exist:
- employee fails to receive a passing grade in the course
or
- employee withdraws from the course prior to its completion
or
-employee voluntarily leaves the school system prior to the completion of the required service
or
- employee voluntarily transfers into another position within the school system which requires a different endorsement prior to the completion of the required service.
7. An employee will
not
be required to reimburse the paid tuition costs plus interest if either of the following conditions exist
- employee involuntarily leaves the school system prior to completion of the required service.
- employee is involuntarily transferred to another position within the school system requiring a different endorsement prior to the completion of the required service.
B. Application:
I am applying for tuition assistance for the following course(s):
Course Request 1.
Course Code:
Course Title:
Semester Hours:
Cost of Course:
Institution:
Term
Course Request 2.
Course Code:
Course Title:
Semester Hours:
Cost of Course:
Institution:
Term
Course Request 3.
Course Code:
Course Title:
Semester Hours:
Cost of Course:
Institution:
Term
Course Request 4
Course Code:
Course Title:
Semester Hours:
Cost of Course:
Institution:
Term
C.
Signed Agreement
I have read and understand the above guidelines governing tuition assistance for unendorsed certificated employees. By signing this agreement, I am agreeing to abide by the stated provisions and agree to peform the required service or reimburse the school system the applicable tuition costs plus interest.
Date:
MM
/
DD
/
YYYY
Employee Printed Name
First
Last
Employee Signature
Social Security Number
Do Not Fill This Out
Do Not Fill This Out