Lewis & ClarkGraduate School of Education & Counseling

Continuing Education

PrISM Oregon Tuition Assistance Application Form

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We are able to offer partial tuition assistance to teachers employed by Oregon schools who are not getting tuition assistance from their schools/district. Tuition assistance is available to teachers employed full or part-time in public or private pK-12 Oregon schools. Tuition assistance is not available to preservice or substitute teachers. Please verify the tuition assistance policies at your school/district before submitting this application. We reserve the right to contact your principal if there are any questions regarding tuition assistance available to you.

Teachers must be in the PrISM Oregon database in order to receive tuition assistance. Submit the online PrISM Oregon application to enter your information into the database.

Teachers must submit an online tuition assistance application each term you request reimbursement. Please register for course(s) at the university teaching the course, then submit the tuition assistance application. You should submit the tuition assistance application prior to the end of the term for which you are requesting assistance. Reimbursement checks are mailed to teachers after successful completion of the course(s). You will need to pay the full tuition amount to the university offering the course before you receive the tuition assistance check.

Date

Your Name

Mailing Address

City, State, Zip

Email

Home Phone

Work Phone

Grade(s) you teach

Name of your school

City/town of your school

Principal's Name

Principal's Email

Term for which
you are applying

(Please register before
submitting application)
Summer 2009
Fall 2009
Winter 2010
Spring 2010
Number of PrISM courses
you are taking this term

PrISM Oregon offers tuition assistance for a maximum of 2 courses per term

Name of PrISM course:
Course number:
Offering university:
Number of credits:

Name of optional 2nd course:
Course number:
Offering university:
Number of credits:

Please print this form before submitting if you wish to retain a copy.

PrISM Oregon is a consortium of seven public and independent Oregon colleges/universities

Eastern Oregon University  |  George Fox University  |  Lewis & Clark College  |  Oregon State University  |  Portland State University  |  University of Portland  |  Western Oregon University

The PrISM Oregon Tuition Assistance program is a University/School Partnership project supported by a Title II-A grant from the U.S. Department of Education. PrISM Oregon partner Lewis & Clark College administers the PrISM Oregon Tuition Assistance program.

Contact Us

The Center for Community Engagement is located in room 217 of Rogers Hall.

email cce@lclark.edu

voice 503-768-6040
fax 503-768-6045

Director Sherri Carreker

Center for Community Engagement
0615 S.W. Palatine Hill Road, MSC 85
Portland, Oregon 97219