TUITION REIMBURSEMENT AGREEMENT
Step 2: Tuition Reimbursement
Under the terms of the Tuition Reimbursement Policy I hereby acknowledge that an employee who receives tuition
reimbursement must remain in service to the City, as a full time employee, for at least two (2) years beyond the date of
reimbursement; otherwise, all sums for tuition and books paid by the City over the past two (2) years must be refunded
to the City in full.
I understand and agree that if I receive tuition assistance from any source(s) that do not require repayment, (i.e. Veteran’s
benefits, grants, scholarships, etc.) I will submit reimbursement requests only for the balance of the tuition and fees not
covered by the alternate source.
I hereby agree that should I be reimburses for the tuition and/or textbooks under the tuition reimbursement program
and I leave the full time employment of the City of Stephenville within a period of two (2) years following reimbursement,
I will refund the City of Stephenville the full amount of the tuition and book reimbursement paid to me over the two (2)
years preceding voluntary resignation. I agree, consent and hereby authorize the City of Stephenville to withhold from
my final paycheck or leave payment of any kind, such amount as may be necessary to satisfy any balance due pursuant
to this agreement. If my final paycheck or other leave payments do not fully cover the amount I owe to the City of
Stephenville, the City hereby reserves the right to pursue all legal and equitable means at its disposal to collect such
balance due.
WITNESS BY MY HAND THIS THE DAY OF ,
Employee Printed Name Employee Signature
SUBSCRIBED AND SWORN TO THIS THE DAY OF ,
Notary
Commission Expires
Appendix E
Form 7
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signature
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