Appendices
Feb 27, 2006 2:10 PM
Appendix 4 - Advanced Tuition Repayment Payroll Deduction Authorization
I received $__________as advanced tuition for the course(s)___________________. If I should fail to meet all conditions for reimbursement as set forth in Article 16 of the Collective Bargaining Agreement, I hereby authorize the Art Institute of New York City to initiate equal payroll deductions over a period of not more than six (6) months or as otherwise mutually agreed, subject to legal limitations, to recover all tuition monies advanced to me under Article 16, B, 1.
Print Name Date
Signature
