You are required to pre-register with the GBCA by filling out the pre-registration form. Upon approval from GBCA, you must register at the appropriate educational institution.

Personal Information

Employment Information

Please specify the course(s) for which you wish to apply for reimbursement

By completing this information you authorize GBCA to obtain an official copy of your grades at the end of the semester. Questions may be directed to Angela Hendrix, Director, Education & Professional Development, by email at or by telephone at (215) 568-7015.

By agreeing with the terms below, I am indicating I understand that reimbursement will be contingent upon achievement of letter grade B or higher in the course listed on this application, that I am solely responsible for payment to the institution listed above for this course, that upon completion of the course I have thirty (30) day to provide proof of payment and an official transcript to GBCA. I understand I am solely responsible for the payment of any additional tuition cost or fees, including textbook costs and late fees. I understand that if I do not complete this course, for voluntary or involuntary reasons, I will be ineligible to participate in the GBCA Tuition Reimbursement Program for one year, effective from the date of this application.