Fillable Employee Tuition Reimbursement Form (King's College)

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Employee Tuition Reimbursement Form (King's College)

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The Employee Tuition Reimbursement Form (King's College) form is 1 page long and contains:

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Country of origin: US
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Employee Tuition Reimbursement Form
This is to verify that _____________________________________________________
(Please Print Student’s Name)
is employed by _________________________________________________________
(Please Print Employer’s Name)
and is eligible for ______________% educational tuition reimbursement benefits.
Additional Comments:
Authorized Personnel Name (please print)
Title (please print)
Phone Number
Authorized Personnel Signature
Date
If for any reason my employer does not pay my tuition at King’s College, I will be fully
responsible for all costs incurred by me.
Student’s Signature: ________________________________ Date: _____________
Social Security Number: _____________________________
Please Return To: King’s College, Business Office
133 N. River Street, Wilkes-Barre, PA 18711
FOR OFFICE USE ONLY
# _________________
CODE _________________
INT/DATE _________________
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Employee Tuition Reimbursement Form (King's College)

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Completed 22 August 2020

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