Tuition Reimbursement Request Form

BCPS employees may request tuition reimbursement for coursework taken for the purposes of certification and/or educational enrichment. The school system will reimburse up to nine (9) semester hours per fiscal year for staff represented by TABCO, CASE, AFSCME, and OPE. For employees represented by ESPBC, up to 12 credits per fiscal year are reimbursable. The reimbursement cycle is from July 1st to June 30th.

There is one form for all BCPS employees. One form allows up to four courses/activities to be submitted. A second form is required to submit additional courses/activities. Information and instructions regarding tuition reimbursement are available on the Office of Certification webpage and Schoology Group (Access Code: 33GQ-3GZ5-H8WKH).

First Name

Last Name

Employee ID Number

If you are unsure of your employee ID number, please reference your Employee Self-Service account under "View Profile".

Middle or Maiden Name

BCPS Email

Only BCPS emails will be used for formal communications regarding this request. Please be sure to type your BCPS email below.

School

Bargaining Unit

Course/Activity 1

Institution or Sponsor

Course Title

Number of Credits

Course Number

Semester

Indicate the semester the course was completed.

Year

Indicate the year the course was completed.

Tuition Total

Book Costs

ESPBC represented employees may reimbursement for books. The cost of books is included in the maximum reimbursable amount of $300 per credit.

Do you have another course/activity to submit?

Indicate below if you have another course to submit for reimbursement.

Transcripts Submitted?

Please indicate how your transcripts will be sent to the Office of Certificate.

Documentation for Proof of Payment

Attach documentation of payment below.

Drop your files here

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