Please indicate the external training opportunity (course, seminar, workshop, licensure, certification, etc.), date, and approximate program cost that you are interested in pursuing through the Employee Scholarship Program (attach additional sheets if necessary):
Educational assistance benefits under this plan are reviewed and approved by the Director of Employee Relations. The current maximum amount for this plan is $2,500.
For the course to possibly qualify as a tax exempt Working Condition Fringe, the answers to the first two questions must be “No”, and the answer to either the third or fourth question must be “Yes”. Financial Services will use this information to help determine taxability.
By signing below, I certify that I have answered the above questions accurately. I understand that if the training opportunity is found not to be job-related, I may have to pay taxes on the value of the course. If the value of the training opportunity is taxable, I also understand that I may owe income tax, FICA payments, and/or penalties and interest, and I agree to assume responsibility for paying these amounts.
To the Supervisor: Please answer the following questions to indicate whether the above course is job-related.
By signing below, I certify that I have answered the above questions accurately and that I approve of this employee pursuing the indicated training opportunity.