CEC Reimbursement Form

CEC Reimbursement Form

The Community Engagement Center strives to support students, faculty in many ways including reimbursements for approved items.

FALL REIMBURSEMENT DEADLINE: Wed, December 18th, 2024

SPRING REIMBURSEMENT DEADLINE: Fri, May 23rd, 2025

STUDENTS: All students enrolled in a Pitzer SRX course or Pitzer students participating in community engagement outside of a class can submit reimbursements for clearance, transportation and/or mileage at any time throughout the semester.

FACULTY : Faculty who have been approved for a Course Enhancement Awards can submit for reimbursement for materials or expenses that arise related to their course.

Please fill out this form in its entirety to receive any reimbursements from the CEC. Please make sure to upload all receipts/mileage documents in order to be reimbursed. If you have any issues or questions, please contact Jackie Contreras- Jackie_Contreras@pitzer.edu

All reimbursements must include the following:

A receipt of any purchases made on behalf of the CEC. (ie. Site clearance, Lyft/Uber/Taxi receipts, Bus/Train tickets.)
If you are turning in a reimbursement for mileage, please include a Mileage Reimbursement Form and a map of the locations you traveled to. When calculating your mileage please make sure you are starting your trip from Pitzer’s campus. No gas receipts will be accepted.
Please submit this form with your receipts, mileage forms or clearance receipts for reimbursement. Reimbursements may take one to two weeks to be processed so plan accordingly.
Reimbursements turned in before extended breaks (i.e. winter, spring and summer break) may take up to 3 weeks to process, please plan accordingly.

Reimbursements must be submitted no longer than 2 weeks past the end of the semester.

Spring reimbursements must be submitted before the end of our fiscal year (6/30) or you it will not be reimbursed to you.

Full Name (First and Last)

Email Address

What is your Affiliation with the CEC/Pitzer College*

Select or enter value

Student ID

Please select all that apply:

Select or enter value

Course Number and Faculty Name

Partner/Site Name

Home Campus

Select or enter value

Reimbursement Delivery Method

Select or enter value

Campus Address*

Please include your full Mail Center address and mailbox number if you are a non-Pitzer student. If you live off campus please include your full mailing address (Street Number, Street Name, City, State, Zip Code)

Home Address*

Please include your full mailing address (Street Number, Street Name, City, State, Zip Code)

Type of Reimbursement:

Select or enter value

File Upload : Transportation/Clearance Recepits

Please submit as a single PDF document or JPEG/PNG

*If you are an iphone user, please make sure to turn of the LIVE function

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse