Tuition Assistance Program (TAP)
Non-Extension School Harvard Courses
Form is not required for Extension School courses.
To register click HERE.
Section I: Employee Information
Last Name:
First Name:
Harvard Identification Number (HUID):
Work Telephone:
Home Telephone:
Mobile Telephone:
Email Address:
Address Line 1: Home Mailing Both
Address Line 2:
Address Line 3:
City, State, Zip:
Section II: Course Information
Semester:
Credit Type:
School/Program:
Credit Hours:
Course Title:
Course Number:
Course Start Date (mm/dd/yyyy):
Course End Date (mm/dd/yyyy):
Course Cost (Tuition):
TAP Fee (Amount paid by student):
Date Paid:
Reason for Taking Course:
Section III: Instructor Approval Information
(not required for Arboretum and Office of the Arts courses)
Instructor Name:
Date:
Instructor Signature:
Section IV: Approval Information (Only one signature required)
Immediate Supervisor's Name:
Date:
Immediate Supervisor's Signature:
Human Resource Contact Name:
Date:
Human Resource Contact Signature:
Section V: Employee Confirmation
I have thoroughly read and agree to all terms and conditions outlined in the Harvard University Tuition Program Policy. I both acknowledge and agree my digital signature below represents my compliance with the terms and conditions outlined in said policies.
Staff Member Name:
 
IMPORTANT: After pressing the SUBMIT button, there will be a link which you must click on to view your completed application. This will be the only opportunity you have to print the form for the required signatures. Once ALL required signatures have been obtained, please follow the instructions in step 3 on the landing page to finalize your claim.