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Office of Human Resources
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Employee Educational Assistance Program (EEAP)

Application Request Form

After you submit this form, the Office of Human Resources will verify your eligibility to participate in the Employee Educational Assistance Program.  Click here for eligibility guidelines.  If approved, you will be sent the EEAP Request and Registration Form so that you can complete the form with your course selection and obtain the required signatures for approval.

Please note:  Winthrop employees who request to take classes through the EEAP must first apply for admission and be accepted through the appropriate department.  Please submit this form AFTER you have been accepted as a student at Winthrop.

Select Term:       Year: 

Employee Name: 

Campus ID: 

Department Employed:    

Job Title: 

Campus Phone #:      

E-mail:   

Status:     

Classification: 

Are you seeking a degree? 

Is this the first time you have taken courses at Winthrop? 

Is this the first time you have taken courses through EEAP?