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MURRAY CITY TUITION ASSISTANCE PROGRAM APPLICATION Name Phone I will be attending (school name): I am currently working towards a: ASSOCIATES BACHELORS MASTERS -OR- I am not working toward a degree, but I am taking a class that relates to my current job. Please explain how this course relates to your current COURSE TITLE & NUMBER CREDITS CLASS START DATE CLASS END DATE TUITION COST (Attach a copy of the invoice/bill) CITY APPROVED ASSISTANCE AMOUNT I hereby make application for admission for the Murray City Tuition Assistance Program. I understand and agree that all courses will be pursued on my own time. If attending the above courses requires an adjustment in my work schedule, I certify that such arrangements have been made with my supervisor. I further certify that the course work for which I am applying will benefit me in my current position and/or is needed for the completion of my degree. If I terminate employment with Murray City, either voluntarily or involuntarily (except in cases of reduction-in- force) I agree to refund to the City monies received by me during the one-year period preceding my date of termination. I agree that the City may withhold from my termination pay and/or annual leave reimbursement any tuition repayments due from me. If I received any funds in advance of taking the course work, I further agree that I will repay those funds to the City in the event that, I fail to complete the course work; or I fail to pass any of the course work with a grade of or higher. I agree that the City may withhold these monies from my paycheck if these funds have not been repaid within 30 days from my withdrawing from the course or my completing it with less than a Tuition assistance for eligibility and procedures. An application must be submitted for each quarter/semester for which assistance is requested. I certify that I have read and understand the above statements and that to the best of my knowledge this application is complete and correct. I further understand that falsifying this application can be grounds for suspension from the Tuition Assistance Program and could also be grounds for disciplinary action. Applicant's Department/Division Head Date Human Resources Director Date Mayor Date ---PAGE BREAK--- Murray City Tuition Assistance Program Summary The City recognizes the importance of employee educational growth to maintain and advance professional, technical, and managerial competence and to prepare employees for promotional or career change opportunities within the city. Please carefully review the points listed below. For further information including a list of eligible degrees please contact Murray City Human Resources at [PHONE REDACTED]. Eligibility Requirements Employee Must be an employee working 30 hours or more per week; must have successfully completed probation by the beginning of the quarter/semester for which tuition assistance is requested. Educational All classes/courses must be offered by institutions accredited by the Accrediting Agency Evaluation Institution Branch of the U.S. Department of Education and/or the Council of Higher Education Accreditation. Course Work Undertake a course of study which leads to an associates, bachelor’s or master’s degree in an occupation for which the city normally recruits employees -OR- Class work in an area which relates to the employee's field of work. Application To Apply The employee must submit a Murray City tuition assistance program application to the employee’s immediate supervisor at least two weeks prior to the beginning of the course. The request shall describe the educational institution, the course name, the cost of the course and the start/completion dates. Attach a copy of the invoice/bill from the school indicating the exact amount to be paid as well as verification of classes enrolled (i.e. copy of class schedule, etc.). Be sure to submit the completed application at least two weeks before the tuition is due. The City will not be responsible for or pay any late fees. Payment Assistance Each employee who is qualified for this program will be eligible to receive up to a maximum of Amount $3,500 tuition assistance per calendar year. The City authorizes tuition assistance or an approved course on the following basis: a. 100 percent for a grade of or higher. b. 50 percent for ungraded courses satisfactorily completed. Verification Upon completion of the course(s), the employee shall submit proof of the earned grade to the Human Resource Director within ten working days after the course completion date. For the purposes of this section, course completion shall mean the date on which the educational institution issues course grades. If the employee fails to submit proof of the earned grade within ten days after course completion, the employee shall repay the City the entire amount of tuition assistance. Time Frame Allow two weeks for payment. Payment will be made to the employee via direct deposit and it is the employee’s responsibility to assure that payment is made to the school. Employee Responsibility Application Submit a tuition assistance application, as well as a copy of the invoice/bill and classes enrolled to your department/division head 2 weeks prior to the start date of the course(s). Grades Submit a grade or completion statement for each class attended to Human Resources within 10 days after grades have been issued; must complete class with a or better. Since the tuition is prepaid, you will be required to repay the City for classes that are withdrawn from, not completed, or completed with a grade below a One-year Work for the City for one year after completing a course or pay back the tuition assistance for that course. Commitment REV 12/2024