• Title IIA Private Schools Program

    Tuition Reimbursement Request

    LAUSD Approval is required prior to enrolling and paying the tuition fees:

    Steps to Completing the Form (All sections must be completed):

    Step 1

    Prepare the following documents (PDFs from the university website) and submit them with your completed form:
    • Course Catalog description (with full name/course number )
    • Course Code (e.g. EDU-586)
    • Course official Start Date and End Date
    • Tuition Fee documentation (from university/agency website)  

    Step 2

    Complete the Tuition/Certification Reimbursement Request Form.

    Page 1: Provide course information using the documents listed on step 1 above.

    Page 2: Provide a detailed response for each question and explain the importance and need to take the course(s) and how it will support student academic achievement.

    • Select all the areas this course(s) will support and improve your teaching.
    • List the challenges, issues or concerns addressed by your administrator when analyzing student data which lead to having the need to take these courses.
    • Describe how taking these courses will prepare you to meet the educational needs of your students.
    • List the support (coaching/mentoring, other PD) your school is currently providing to address the challenges, issues or concerns listed on item #1.

    Finally, read the guideline on page 3 and sign the affidavit electronically (please see tutorial here). After completing the form, have the principal/consortium administrator sign page 1.

    The administrator's signature serves as their endorsement and confirms they approve of your request to enroll in the requested course.


    Step 3
     
    Email the completed and signed Tuition Reimbursement form & supporting documentation to the Title IIA Private Schools Support Office TitleIIAPrivateSchools@lausd.net with the subject line: Last Name - Consortium/Private School - Course Code (e.g. SMITH - LITTLE LAMBS LEARNING CENTER - EDU-586). Forms must be received no less than 30 business days prior to the course start date.
     
    Incomplete or incorrectly completed forms will delay approval. 
    Reminder that private schools may not pay for tuition fees, as this will forfeit reimbursement.  Reimbursements are made directly to the individual teacher.  Documentation (tuition payment receipt, credit card statements/canceled check) must show the teacher's name and home address. 
     
    Upon successfully completing the course(s):
    Gather the following required documents and submit them via US Mail and email to the Title IIA-Private Schools Support Office:
    1. Tuition Reimbursement Form Claim Form
    2. Proof of payment: copy of credit card statement with participant’s name, home address and transaction fee posted, or copy of canceled check (front and back)
    3. Receipt from the university cashier/registrar office summarizing fees paid for the courses
    4. Official transcripts with grades posted as proof of course completion
    5. LAUSD Vendor Form if we don’t have one on file or if your contact information has changed. This form is required to issue a reimbursement check.

    Incomplete forms and missing documents will delay reimbursement

    MAIL ORIGINAL DOCUMENTS TO:
    Los Angeles Unified School District
    Human Resources
    333 S. Beaudry Ave. 15th Floor - Los Angeles, CA 90017
     
    ATTENTION: ROSA RODRIGUEZ, SPECIALIST
    TITLE II PART A, PRIVATE SCHOOLS PROGRAM

    MAIL SCANNED COPY OF ORIGINAL DOCUMENTS TO TitleIIAPrivateSchools@lausd.net