Educational Interpreter Project :: Professional Development

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		Florida Programs and Course Offerings Statewide Weekend Workshop Schedule and Registration Summer Registration Form Program Details College Courses Summer Institutes Guidelines Tuition Reimbursement Application Preparation for National Certification General Information

"Out of Field" tuition reimbursement will be considered if your District Coordinator or designee approves. Use this form "Out of Field" and complete the application below.

"In Field" TUITION REIMBURSEMENT APPLICATION

Individuals are limited to one stipend per semester.

Complete the form and click "submit" to send your registration online, or you may prefer to print the form and mail or fax it to us.

Name:
Social Security Number:
Mailing Address:
City: State: Zip:
Home Email:
(contains an "@", but never "www.")
Work Email:
(contains an "@", but never "www.")
Home Phone:
(please include area code, 904-555-1212)
Work Phone: (904-555-1212)
School District:
School Name:

Current Educational Background: High School
College Credits Earned: Degree:

Semester:

I am requesting Stipend(s) for:
Course Number: Title:
College Name: Credit Hours:

Questions?

Lori Tetzel, Project Assistant
Toll Free - 1-866-697-7150
Local 904-620-1386
FAX 904-620-3895 (ATTN: EIP)

Funding for this webpage was provided by the Florida Department of Education and was made possible by a grant from the U.S. Department of Education, Office of Special Education Programs.

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