Employee Education Assistance Form 

Please note the following program considerations: 
  • Only education programs that result in degrees are eligible for the Employee Scholarship. If you are pursing a Certification please apply for the Certification Assistance Program. 
  • Employees can receive either an Employee Scholarship (planning to go or currently in school) or Student Loan Repayment (graduated and not in school). An employee cannot be eligible for both program simultaneously.   
Application Information

Eligibility Information

Applicant Information

The - symbol must be used between the groups of numbers. E.g. 111-11-1111. Error 1.1 would signify an invalid SSN or invalid formatting.

Please confirm that the Email submitted is correct and active. Potential award communication will be sent to this address.

Previous Awards

Degree Information

Short Answer