Course Reimbursement Application Form
CUPE 1328, CUPE 1280, CUPE 3155 and Non-Union/Non-Academic Employees
ALL AREAS OF THIS FORM MUST BE COMPLETED IN ORDER TO BE CONSIDERED
FOR COURSE REIMBURSEMENT
Applications are now being accepted for pre-approval for reimbursement purposes of courses to be taken
from June 2019 to June 2020. There will be no other opportunity for pre-approval of courses during
this period. Please submit only the courses you will be taking during this time period.
Name of Applicant: __________________________________________________ (please print)
Position and Location: _________________________________________________
Date of Employment with the Board: ____________________________________
Employee/Union Group: CUPE 1280 CUPE 1328 SBESS
Are you working towards an accredited:
CUPE 1328 OCT
College Certificate / Diploma
What is the degree/certificate/diploma you are working towards:________________________________________
Course Title and Description College/University Course Cost
Approved Course reimbursement will be calculated based on the following criteria:
$300.00 or less will be reimbursed 100%;
Between $300.00 and $600.00 will be reimbursed in the amount of $300.00;
$600.00 and above will be reimbursed at 50% to a maximum of $1,000.00.
Please note – We may need to apportion funds among the applicants due to funding availability.
Signature of Applicant
Please ensure that this application and supporting documentation are submitted to:
Ina Tedja, Officer, Human Resources, no later than Friday May 31, 2019.
TOTAL COURSE COST