174360 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 132750 Page 1 of 1
ONE CIVIC SQUARE AARON HOOVER CHECK AMOUNT: $804.00
CARMEL, INDIANA 46032 130 1ST AVE SW
CARMEL IN 46032 CHECK NUMBER: 174360
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT D ESCRIPTION
651 5023990 070609 804.00 OTHER EXPENSES
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit coWleted form to D partment Head prior to commencement of course.)
Employee Name /�'"'O`'�
Department J� r lec� o SSN ®�I "may Hire Date 7_Z1 26
l
Educational Institution* n�, w� 1/J�S �fgr� �i1 n ✓el-
Name of Course r a y
4_4 6 1 5;e c I Gei2 4 Credit Hours
Starting Date of Course (month/day /year) 7 /02
By signing below, I signify that I understand the following:
The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58.
To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy
of my final grade. To receive reimbursement for books, I must submit an original itemized receipt
or other proof of purchase that links these books to this particular course.
If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will
repay the City in full for its tuition and book reimbursements for this course.
The tax status of reimbursement yments is s ect to federal law, which may change from time to time.
Employee Signature Date 3 (e O
Part II (to be completed by Department Head)
(Submit to Human Resources)
By signing below, I certify that the applicant will have been employed full -time by the City for at least one (1)
year prior to the commencement of the course, and has not been subject to a disciplinary probation, suspension
or demotion within 90 days prior to the beginning of the course. The final claim will be paid from my
department's budget, subject to the terms of Section 2 -58 of Carmel City Code.
Department Head Signature Date
Part III (to be completed by Director of human Resources)
Final Approval 1 Date 3 a
If denied, reason for denial
The tuition reimbursement program covers only full- semester courses offered through a degree granting institution
accredited by the North Central Association of Colleges and Schools or an equivalent regional accreditor.
An application will not be considered complete unless a course description from the school's literature is attached.
Course Title Wk *$100.00
Initial Deposit
Philosophy Practice of Lifelong Learning I $102.00 $470.00
G 140 Communications I $810.00
$140,00 $100-00 $105.00 $1,617.00
$9Q.00 $0.00 $105.00 $705.00
141 Communications II $705.00 $795.00
'112 Intro. to Computer Information Technology $470.00 $534.00
LE140 Concepts of Wellness $64.00
:102 New Testament Survey $49.00 $705.Q0 $754.00
)M115 Introduction to Human Communications
5 weeks 3 $91.00 $705.00 $796.00
r220 Desktop PPlications a 6 weeks 4 $104.00 $940 00 $1,044 00
5,++3�'•s'- R kn.l`. i,y''. z3,:. �'gb{ T7 t5 y :Yh 3,rF p::�,.�...
,lp�p parutres: World Givfrlrzatron $705.00 $790.00
5 weeks 3 $85.00
AT108 Modem Concepts of Mathematics 3 ks $109.00 $705.00 $814.00
;Y1S5 Psychology of Personal Adjustment 5 wee $705.00 $803.00
JG242 Literature and Ideas 5 weeks 3 $98.00
7140 Operating Systems Concepts 5 weeks 3 $119.00 $705.00 $824.00
5 weeks 3 $47.00 $705.00 $752.00
T120 Introduction to Programming Concepts
$705.00 $845.00
5 weeks 3 $140.00
US180 Humanities: Fine Arts $705.00 $802.00
iL283 Philosophy and Christian Thought
5 weeks 3 $97.00
[T262 Network Communications 5 weeks 3 $126.00 $705.00 $831.00
5 weeks 3 $99.00 $705.00 $804.00
7260 Database Concepts $705.00 $817.00
IT270 E- Commerce and Web Development
5 weeks 3 $112.00
IT272 Hardware and Software Troubleshooting S weeks 3 $137.00 $75.00 $705.00 $917.00
5 weeks 3 $105.00 $705.00 $810.00
IT280 Project Management and Integration Capstone 62 $2,114.00 *$280.00 $14,570.00 $16,964.00
OTAL
ition: $235.00 per credit hour *Educational Resource Fee: $205.00, Graduation Fee: $75.00
AYMENT PROCESS
Deposit*
a initial deposit of $100.00 must be subpihed d posit is received our b n it g r
na ewill be placed o a waiting lis )R gadless
asterCard, or Discover (if the class is ful y o ur
how subsequent payments will be made (financial aid, veterans'. benefits, etc.), the $100.00 deposit is still required.
Balance of First Payment
re remaining balance of your first payment for the first two courses must be received in the Marion office by noon 14
the class list and you will be ineligible to start this session.
ys prior to the class start, or your name will. be dropped from
ite payments will not be accepted.
Direct Payment to:
Indiana Wesleyan University LEAP Office 41 1900 W 50th Street Marion, IN 46953
800 234 -5327, option 2 765 -677 3265
Indiana Wesleyan University reserves the right to change information in this document without notice.
I ND I ANA
�T/� t 1•
W E A L N a A
a '2' a. "gt�4 A`"'a'� `�,£f� fT
RECORDS OFFICE 'as� y {�s� x:.' s
4201 South Washington Street r��
w ,y' a�
Marion, Indiana 46953 e�
E ta,.,.*'r rks
A d dx
a M
PRIM
ate` sz Z, d t t
Aaron D. Hoover as rt a a" s f �x i N'
1437613 ,v, t£` wr r_`t; i *ks`` S`, �"'5' x Y f
04/01/ 09 05/12/09
HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE
SUMMARY ENROLLED EARNED HOURS HOURS POINTS POINTAVG.
f -rA,
CURRENT,'
�Z
r
CUMULATIVE
Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include o
transfer hours. Current status of Baccalaureate honors:
is a Chr ist-centered
m
academic community GRADED HOURS (min. 80 req.; 40 hrs. IWU) HONORS GPA 3
committed to ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS.
changing the world EXPLANATION OF GRADES, POINTS, AND CREDIT HOURS THE UNIT OF CREDIT IS THE SEMESTER HOUR.
by developing students A 4.0 Excellent WF Withdrawal while failing Grade point average based on quality points
A- 3.7 W Withdrawal while passing divided by quality hours. Total earned hours
in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements.
B 3.0 Good NR No grade report given
and leadership. B- 2.7 CR Credit Equivalent to C or above
C+ 2.3 NC Non Credit Equivalent to below C
C 2.0 Average AU Audit
C- 1.7 NA Failure to Audit
TRANSCRIPT INFORMATION D+ 1.3 O Outstanding To request an official transcript, information is D 1.0 Passing S Satisfactory
available by phone at 765 677 -2966 or online at F 0.0 Failure U Unsatisfactory
http: /www.indwes.edu /records /transcripts.htm. IP In Progress
,1
RECEIPT
RECEIVED FROM: HOOVER, AARON D INDIANA WESLEYAN UNIVERSITY
17041 Kirklin Dr Div. of Adult Prof. Studies
Westfield IN 46074 lgoo W. 50TH ST.
MARION IN 46953
RECEIPT PRINTED: 25-JUN-09
REF: HOOVER, AARON D
XXX-XX-3359
ASCITOL 01
RECEIPT DATE DESCRIPTION AMOUNT
25-JUN-09 SSL:EFTS:062509 238.14
25-JUN-09 USL:EFTU:062509 2333.38
TOTAL RECEIPT APPLIED 0.00
TOTAL UNAPPLIED RECEIPT 2571.52
TOTAL AMOUNT RECEIVED 2571.52
You have the right to cancel all or a portion of this loan and have the proceeds
returned to the lender. you must notify Indiana Wesleyan University in writing
within 30 days of this notice for this to occur.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
132750
AARON HOOVER Purchase Order No.
SEWER COLLECTION Terms
CARMEL, IN 46032 Due Date 7/1/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2009 070609 $804.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date O er
VOUCHER 095951 WARRANT ALLOWED
1 X2750 IN SUM OF
AARON HOOVER
SEWER COLLECTION
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
070609 01- 7040 -01 $804.00
Voucher Total $804.00
Cost distribution ledger classification if
claim paid under vehicle highway fund