GARFIELD PUBLIC SCHOOLS

125 OUTWATER LANE

GARFIELD, N.J. 07026

PRIOR APROVAL APPLICATON FOR ACADEMIC CREDIT 2008 - 2009

 Teacher Name__________________________________                     School Year  ______________

 School # _________________________                                                    Date of Application___________

 Grade    _________________________                  Start of Course_________  End of Course________

 Subject _________________________                                                      Course Applied to: _________                                                                                                                                                        (i.e. BA+30, MA, MA+30)

   TITLE OF COURSE                 #OF COURSE         NAME OF INSTITUTION       #OF CREDITS

1.____________________________________________________________________________________

2.____________________________________________________________________________________

^{Please indicate if you received course reimbursement for the current school year Yes ______  No_____}

^{Amount you received: $______________.}

(PLEASE ATTACH A COPY OF DETAILED COURSE DESCRIPTION TO THIS DOCUMENT)

REJECTED:  REASON:________________________________________________________________

^{Tuition Reimbursement Funding Availability     YES________     NO _________} 

___________________________________                                              ______________________

Mr. Raymond S. Hryczyk                                                  DATE

                ASSISTANT SUPERINTENDENT OF SCHOOLS

Please be advised that the official date of the start and completion of a college course shall determine the academic year in which the tuition reimbursement shall be applied.  Staff members seeking reimbursement for Spring Semester course concluding prior to June 30^th must submit notification of completion prior to June 30^th and submit official transcripts as soon as they become available (DEADLINE: JULY 30^TH….. Failure to provide notification of completion prior to June 30^th shall result in a forfeiture of reimbursement benefits for that semester……

FALL course work Prior Approval Application Due before:                        September 15^th

SPRING course work Prior Approval Application Due before:       January 15^th

^{SUMMER course work Prior Approval Application Due before:                         May15th}

^{*******************************************************************************************}

^{Please submit REQUIRED PAPERWORK to Assistant Supt. Office Attention, Immediately after receiving class grade…..}

^{Ms. Helen Incorvaia @ ext. 2308}

^{·         Copy of signed prior approval}              

^{·         Official college transcripts and/or Report Card}

^{·         Proof of Payment – cancelled check, charge statement, or paid bill from college}

^{·         You will receive Purchase Order through U.S. Mail at you home}

^{·         You must sign Purchase Order and return directly to Ms. Helen Incorvaia}

^{·         Course reimbursement check will be mailed to your home after approval at a monthly Board of Education Meeting. (Be sure to report any changes to your mailing address to the Business Office and Superintendent’s Office).}

^{·        It is of the utmost importance to notify Ms. Incorvaia, in writing in the event that you withdraw from the approved course…                             Revised:     May 1, 2006}