Workforce Talent Initiative - Pre Approval Form for Certification Reimbursement
The College of Science and Technology, in coordination with the Department of Computer Science, is pleased to announce funding for mini-scholarships/reimbursements for information technology industry certifications.  Eligible students must be majoring or minoring in Computer Science or Information Technology.  The College’s Workforce Talent Initiative (WTI) is administering the mini-scholarship program.

If any Computer Science or Information Technology student passes a pre-approved industry certification, they can have a portion of the exam cost awarded to them as a scholarship. Maximum amount of the award is 50% of exam amount, not to exceed $100 for an individual exam. Students may receive a total of $250 during their time at Southeastern. This scholarship does NOT cover the cost of training, education, or failed exams.  Total scholarships are capped at $250 for an individual student.

Pre-approval (this form) should be completed prior to taking the certification exam.

Approval/denial will be sent via email to the address included on this form.  If approved, the email will include instructions on next steps to ensure reimbursement of exam costs.  Reimbursement will be made to student financial account (Leonet).
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First Name *
Last Name *
W Number *
Email Address *
Major/Minor *
Required
Course Associated with this Exam/Certification *
Required
Industry Certification Test Being Taken *
Required
Amount Requested (Maximum amount of the award is 50% of exam amount, not to exceed $100 for an individual exam) *
Date Exam Will be Taken
MM
/
DD
/
YYYY
Pre-Approval Acknowledgement *
By checking this box, I understand that completion of this form does not guarantee reimbursement of my exam fees. I also understand that upon approval, I must submit requested documents timely in order to ensure the reimbursement of my exam fees.
Required
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