Employee Tuition Reimbursement Application

Employee Tuition Reimbursement Application — Form Fields

This hr template includes 15 fields. Application for employees seeking tuition reimbursement for degree or certification programs. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Work Email (email, required)
• Employee ID (text, required)
• Department (text, required)
• Years of Service (number, required)
• Institution Name (text, required)
• Program/Degree Name (text, required)
• Program Type (dropdown selection, required) — options: Undergraduate Degree, Graduate Degree, Professional Certificate, Industry Certification, Individual Course
• Enrollment Status (dropdown selection, required) — options: Full-Time, Part-Time, Single Course
• Tuition Amount Per Semester ($) (number, required)
• Total Program Cost ($) (number, optional)
• Expected Completion Date (text, required)
• How This Relates to Your Role (long text, required)
• Manager Approval Obtained (multiple choice, required) — options: Yes, No, Pending
• Course Catalog or Registration Confirmation (file upload, required)