COURSE PRE APPROVAL REQUEST

NAME ______________________________ DATE ______________________

DEPT/SCHOOL _____________________________ POSITION __________________

I hereby request the following course(s) which begin on ______________________

to be accepted for reimbursement per negotiated agreement. I understand that all courses must have prior approval to be considered for reimbursement and must be successfully completed.

CREDITS

NAME, NUMBER & DESCRIPTION OF COURSE (S) INSTITUTION AND TYPE

___________________________________________ ____________ _________

Employee’s Signature

______APPROVED ______DISAPPROVED

___________________________________

Superintendent’s Signature