Request Reimbursement for Approved Experience
Request Reimbursement for Approved Experience
Scholar Name
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Scholar Name
First Name
First Name
Last Name
Last Name
Email
How much money are you requesting?
*
Please provide receipts for reimbursement
*
Drop a file here or click to upload
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Maximum file size: 67.11MB
Method of Reimbursement
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Choose your method of reimbursement
Check
Venmo
Venmo username
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Address for Reimbursement Check
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Address for Reimbursement Check
Address for Reimbursement Check
Address for Reimbursement Check
City
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State/Province
State/Province
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Country
Afghanistan
Aland Islands
Albania
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American Samoa
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Chad
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China
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Colombia
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Croatia
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Cyprus
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Falkland Islands (Malvinas)
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Gabon
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Georgia
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Iceland
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Iran
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Isle of Man
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Kiribati
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Laos
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Liberia
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Liechtenstein
Lithuania
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Macao
Macedonia
Madagascar
Malawi
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Maldives
Mali
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Martinique
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Micronesia
Moldova
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Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
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North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
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Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
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Svalbard and Jan Mayen
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Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
United Arab Emirates
United Kingdom
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Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Additional Comments or Info
Has the experience already taken place?
Yes
No
<p>Information for all payment requests must be received in full by the <strong>5th of each month</strong>. If all documentation is provided, a check will be issued no later than the <strong>15th of the same month.</strong> </p><p>Any requests received after the 5th will be administered the following month.</p>
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