ROCKY CHANNELS SCHOOL SYSTEM PROFESSIONAL ... - AWS
AOS 98/ ROCKY CHANNELS SCHOOL SYSTEM PROFESSIONAL CREDIT TEACHER THIRD-PARTY BILLING REQUEST
Approval: all courses must be approved PRIOR to enrollment even if you plan to pay for the course up-front and wish to be reimbursed from the district.
Signatures: get appropriate signatures on this Third-Party Billing Request form, the superintendent signs last.
Submit: a copy of this request form to the superintendent’s office with the course number and title, name of institution, course beginning and ending dates, and the number of credit hours.*
You will receive a signed copy of the request back for your records along with a third party billing letter on letterhead signed by the superintendent stating that AOS 98 will pay the tuition rate. You must submit the superintendent’s third party billing letter to the college when you enroll. If you plan to pay tuition and wish to be reimbursed, the third party billing letter is not necessary.
□ Reimbursement: check this box if you are paying for the course in advance and want to be reimbursed when your course is completed. Central office will need proof of payment.
Grades: Send a copy of the grades for this course to the superintendent’s office for your files.
Course Number & Title ___________________________________Credit Hours ______ Name of Institution _______________________________Dates of Course ___________ Circle One:
Certification Credits
Advanced Degree Credits
*Per Contract Agreement between the Teachers Association and the School Committee, the cost of college or university tuition only will be paid for a maximum of 9 approved credits per year, with the year beginning September 1 to August 31, at a maximum payment level not to exceed the current University of Maine Orono rates.
___________________________________ Teacher’s Name Printed Date
__________________________________ Social Security Number
___________________________________ Teacher's Signature
__________________________________ SSSC Chairman’s Signature Date
___________________________________ Principal’s Signature Date
__________________________________ Superintendent’s Signature Date
Approval: all courses must be approved PRIOR to enrollment even if you plan to pay for the course up-front and wish to be reimbursed from the district.
Signatures: get appropriate signatures on this Third-Party Billing Request form, the superintendent signs last.
Submit: a copy of this request form to the superintendent’s office with the course number and title, name of institution, course beginning and ending dates, and the number of credit hours.*
You will receive a signed copy of the request back for your records along with a third party billing letter on letterhead signed by the superintendent stating that AOS 98 will pay the tuition rate. You must submit the superintendent’s third party billing letter to the college when you enroll. If you plan to pay tuition and wish to be reimbursed, the third party billing letter is not necessary.
□ Reimbursement: check this box if you are paying for the course in advance and want to be reimbursed when your course is completed. Central office will need proof of payment.
Grades: Send a copy of the grades for this course to the superintendent’s office for your files.
Course Number & Title ___________________________________Credit Hours ______ Name of Institution _______________________________Dates of Course ___________ Circle One:
Certification Credits
Advanced Degree Credits
*Per Contract Agreement between the Teachers Association and the School Committee, the cost of college or university tuition only will be paid for a maximum of 9 approved credits per year, with the year beginning September 1 to August 31, at a maximum payment level not to exceed the current University of Maine Orono rates.
___________________________________ Teacher’s Name Printed Date
__________________________________ Social Security Number
___________________________________ Teacher's Signature
__________________________________ SSSC Chairman’s Signature Date
___________________________________ Principal’s Signature Date
__________________________________ Superintendent’s Signature Date
