SELF HELP INCORPORATED

Community Partnerships for Children

The Community Action Agency of Greater Brockton and Attleboro

780 West Main Street, Avon, MA 02322 TEL (508) 559-1666 Fax (508) 583-3808

Internet: www.selfhelpinc.org

“An equal opportunity employer”

Executive Director

Jonathan R. Carlson

PROJECT SHARE

*Guidelines for Tuition Reimbursement FY’06

1. College Credit Courses: (to include credit for General Elective Requirements (GER) required for an

ECE degree or other electives). Priority will be given to Early Childhood courses. GER courses require

documentation from the college stating that the person is matriculated into the college for

an Early Childhood Education degree.

Applicants are required to pay a portion of their course before being reimbursed by Project SHARE.

Graduate Level: Applicant pays $100.00 CPC pays up to $400.00

Bachelor Level: Applicant pays $75.00 CPC pays up to $400.00

Associate Level: Applicant pays $50.00 CPC pays up to $350.00

2. Trainings: Trainings may include: workshops, conferences, BAEYC/NAEYC membership fees and other non-credit trainings. CPR and First Aid will not be considered for reimbursement. Providers can submit applications for reimbursement to CPC for trainings, memberships, etc. but will pay a deductible of $10.00.

There is a maximum allotment of $150.00 per person per fiscal year, not to exceed $500.00 per program (center/school) per fiscal year, for trainings/workshops.

• For any one individual, the maximum reimbursement amount shall not exceed $500.00 for college courses and trainings combined per fiscal year.

§ ALL applications should be submitted as soon as you know what course, training, workshop etc. that you will be taking. Applications must include the cost and dates of attendance in order to determine if there is money available to reimburse you. Final applications for the year are due no later than June 2, 2006.

§ All childcare sites must fulfill the meeting requirement as stated in the Provider Participation Guidelines FY ’06 before any reimbursements occur. If the applicant’s childcare site does not meet the meeting requirement, the applicant will not be reimbursed. As soon as all required documentation is received, and the meeting requirement has been met all reimbursements will be processed on a first come first serve basis.

• All courses and workshops must be paid for and completed in the same fiscal year. Our fiscal year begins July 1^st and ends June 30^th.

ALL REIMBURSEMENTS ARE DEPENDENT UPON THE AVAILABILITY

OF FUNDING IN FY ’06

Documentation Requirements

Providers must submit to the Partnership

(1) Proof of payment of course or training and

(2) Proof of successful completion (Grade of C or better) of course or training in the form of grade report, transcript, letter from the college, training certificate, before receiving reimbursement.

ALL Documentation must be received by Dec. 1, 2006

*These Guidelines are contingent upon state funding.

In the event that any issues arise needing clarification, the Project SHARE Sub-Committee will reconvene to make recommendations.

PROJECT SHARE / CPC

July 2005- June 2006

Please fill out this form COMPLETELY and return as soon as you know what workshop/training/course you will be attending

APPLICATION FOR REIMBURSEMENT

Please fill out a separate application for each course, workshop etc.

Your Name:______________________________________________________________________________________

Your Address/Town/Zip:____________________________________________________________________________

Home Phone:____________________________________________________________________________________

Place of employment: ______________________________________________________________________________

Town and ZIP code _______________________________________________________________________________

Work Phone:_____________________________________________________________________________________

Email___________________________________________________________________________________________

Name of course, conference or other training: ___________________________________________________________

Please circle level of course if applicable: Assoc. ($350 max./$50 ded.) Bachelor’s ($400 max./$75 ded.) Grad. ($400 max./$100 ded.)

Name of College or Agency: ________________________________________________________________________

Date(s) of course/training___________________________________________________________________________

If this is not an Early Childhood course you must include documentation from the college stating that the applicant is matriculated into the college for an Early Childhood Education degree.

Total of your request $_________________________

Name of person or agency being reimbursed: __________________________________________________________

Address: ______________________________________Town and Zip____________________________________

After you have completed the training and/or course, you will need to send us a copy of both your proof of payment (copy of cancelled check, receipt) and proof of successful completion (Grade of C or better) of course or training in the form of grade report, transcript, letter from the college, training certificate. We must have your documentation before we can pay you. Documentation must be received by 12/1/06.

Your signature _________________________________________ Date _______________________

Director’s signature______________________________________ Date________________________

(if applicable)

Return this form to:

fax (508) 583-3808

mail: Leslie Dunn

Self Help, Inc., Project SHARE/ CPC

780 West Main Street

Avon, MA 02322

Email: ldunn@selfhelpinc.org

(508) 559-1666, ext. 126