• Application for Tuition Assistance

    Please submit this prior to the beginning of each course. If applicable, please attach the loan agreement for each advanced degree course (Masters or Doctorate). Please contact HR Shared Services with any questions by phone at 616-393-1600 or by email at HRHelp@Haworth.com

  • Please note, a maximum amount of $5,250 will be reimbursed per calendar year for full-time members and $2,625 for part-time A and part-time B members.

  • Member Information

  • School Information

  • Does the degree you are pursuing relate to building skills/ knowledge in your current or a future job at Haworth?*

  • Because you selected no, please refer back to the Tuition Policy before continuing this application as Haworth Members must be pursuing a degree that relates to building skills/ knowledge in your current or a future job at Haworth.

  • PLEASE NOTE: If you are obtaining an advanded degree (Graduate/Masters/Doctorate), and are intending to utilize the Tuition Assitance Program, it is required that you also fill out this Advanced Degree Loan Agreement. Your application will not be approved until you do so. 

  • Expected Graduation Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you an Apprentice?*
  • Are you enrolled in Direct Bill or a Deferred Payment School?*
  • Course Information*
    Rows

  • Funds provided by scholarships, grants, and any other from of reimbursement from any other source are to
    be subtracted from the balance owed prior to calculating the Haworth tuition amount to be reimbursed. Only eligible out of pocket expenses are reimbursable.

  • Award Date (if applicable)
     - -
    2 digit month, 2 digit day, 4 digit year
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    • Members will be responsible for charges associated with ineligible classes
    • Books are not reimbursable (Except for the Apprentice Program)
    • Reimbursement requires a grade of at least a C/2.0 (undergraduate) or B/3.0 (advanced degree) on a four point scale
    • Claim with grades and invoice must be submitted within 30 days of course completion
    • Members must submit the following through Concur if member is using concur for reimbursement:
      • Itemized Tuition Bill 
      • Proof of grades
      • Tuition Payment proof (If you were required to pre-pay for Tuition). 
      • All must be submitted within 30 days of course completion
         

     

    I have read over and understand the Tuition Assistance Policy and certify that the above information is correct.

    You can also find additional information regarding the Tuition Assitance Policy by visiting HR Help at https://haworthhr.zendesk.com/ and searching 'Tuition Reimbursement'.

  • Member Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Supervisor Approval

    To be completed by supervisor
  • Is the member on PIP (performance improvement plan)?*
  • Is the course college accredited and applicable to current or future job requirements?*
  • Supervisor Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Tuition Assistance Administrator Approval

    To be completed by Tuition Assistance Administrator
  • Approval Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: