Tuition Reimbursement Form

Completion of this form is required to temporarily reserve funds for tuition reimbursement for the 2026 calendar year. If you are submitting a new application, you are required to submit a general course plan for your program of study and/or a career plan. If you will be seeking a degree, certificate, or license not related to your current position at BrightSpring, you must provide a letter detailing your goals at BrightSpring and how the program of study or license will further your career with the company. If you have submitted documentation within the past year, you will not be required to resubmit. Upon completion, If you are submitting a new application, you are required to submit a general course plan for your program, email to: BrightSpringBenefits@BrightSpringHealth.com. If you have recently submitted an application and have not heard back in 5 business days, please reach out to BrightSpringBenefits@BrightSpringHealth.com

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Multiple Choice *

• New Application
• Renewal Application

Name *

First

Last

Employee ID *

verify Policy apply

Employee Email *

Employee Location *

Course(s) will apply towards (check one): *

• Undergraduate
• Graduate
• Professional License
• Certification

University/Licensing Agency *

Course Information

Course Title *

Start Date *

End Date *

Cost *

Provide a brief description of the program *

Approving Manager/Supervisor Name (We will verify with approving manager/supervisor) *

First

Last

Approving Manager/Supervisor Email *

File Upload

Click or drag a file to this area to upload.

Tuition Reimbursement Policy

Policy *

• I have read and agree to the Tuition Reimbursement Policy

Submit

Disclaimer: By signing/checking the agreement, you certify that you have read and agree to the terms of the BrightSpring Tuition Reimbursement Policy. You acknowledge that BrightSpring has the right to make changes to or rescind the Tuition Reimbursement Policy at any time. Within two (2) months of completion of the course you must submit a copy of your grade report or proof of licensure with a paid tuition receipt for final approval and reimbursement. Failure to do so will result in forfeiture of funds reserved for the course based on this application.