Common use of TO BE COMPLETED BY STUDENT Clause in Contracts

TO BE COMPLETED BY STUDENT. I qualify for the tuition benefit under my employer’s policy; therefore, I request that payment of tuition in the amount of $ for the Summer 2024 term be deferred until the end of the term. I understand and agree that if, for any reason, my employer refuses payment, or I withdraw from classes and do not qualify for reimbursement, I will be responsible for the immediate and full payment of all tuition due to Central Penn. Print Name of Student Signature of Student Student ID # Date Email Address Daytime Phone Number Cell Phone Number By signing this Agreement, I agree to all of its terms. I further agree and understand that if I do not pay the entire amount owed (including any deferred amount) plus any administrative fees owed before September 30th, 2024 I may incur additional costs for collecting the amounts due under this Agreement, including reasonable attorneys fees, court costs and collection agency fees. I release my rights under the Xxxxxxx Amendment and agree to allow the College to release my financial information to my employer. Questions and Assistance Mailing Address Xxx Xxxxxx – Student Accounts Central Penn College 1-800-759-2727 ext. 2224 Business Office E-mail: xxxxxxxxx@xxxxxxxxxxx.xxx 000 Xxxxxxx Xxxx Xxxx

TO BE COMPLETED BY STUDENT. I qualify for the tuition benefit under my employer’s policy; therefore, I request that payment of tuition in the amount of $ for the Summer 2024 2019 term be deferred until the end of the term. I understand and agree that if, for any reason, my employer refuses payment, or I withdraw from classes and do not qualify for reimbursement, I will be responsible for the immediate and full payment of all tuition due to Central Penn. Print Name of Student Signature of Student Student ID # Date Email Address Daytime Phone Number Cell Phone Number By signing this Agreement, I agree to all of its terms. I further agree and understand that if I do not pay the entire amount owed (including any deferred amount) plus any administrative fees owed before September 30th27, 2024 2019, I may incur additional costs for collecting the amounts due under this Agreement, including reasonable attorneys fees, court costs and collection agency fees. I release my rights under the Xxxxxxx Amendment and agree to allow the College to release my financial information to my employer. Questions and Assistance Mailing Address Xxx Xxxxxx Xxxxxxxx – Student Accounts Central Penn College 1-800-759-2727 ext. 2224 2233 Business Office E-mail: xxxxxxxxx@xxxxxxxxxxx.xxx 000 Xxxxxxx Xxxx XxxxOffice

TO BE COMPLETED BY STUDENT. I qualify for the tuition benefit under my employer’s policy; therefore, I request that payment of tuition in the amount of $ for the Summer 2024 Fall 2019 term be deferred until the end of the term. I understand and agree that if, for any reason, my employer refuses payment, or I withdraw from classes and do not qualify for reimbursement, I will be responsible for the immediate and full payment of all tuition due to Central Penn. Print Name of Student Signature of Student Student ID # Date _ Email Address Daytime Phone Number Cell Phone Number By signing this Agreement, I agree to all of its terms. I further agree and understand that if I do not pay the entire amount owed (including any deferred amount) plus any administrative fees owed before September 30thDecember 27, 2024 2019, I may incur additional costs for collecting the amounts due under this Agreement, including reasonable attorneys fees, court costs and collection agency fees. I release my rights under the Xxxxxxx Amendment and agree to allow the College to release my financial information to my employer. Questions and Assistance Mailing Address Xxx Xxxxxx Xxxxxxxx – Student Accounts Central Penn College 1-800-759-2727 ext. 2224 2233 Business Office E-mail: xxxxxxxxx@xxxxxxxxxxx.xxx 000 Xxxxxxx Xxxx XxxxOffice

TO BE COMPLETED BY STUDENT. I qualify for the tuition benefit under my employer’s policy; therefore, I request that payment of tuition in the amount of $ for the Summer Spring 2024 term be deferred until the end of the term. I understand and agree that if, for any reason, my employer refuses payment, or I withdraw from classes and do not qualify for reimbursement, I will be responsible for the immediate and full payment of all tuition due to Central Penn. Print Name of Student Signature of Student Student ID # Date Email Address Daytime Phone Number Cell Phone Number By signing this Agreement, I agree to all of its terms. I further agree and understand that if I do not pay the entire amount owed (including any deferred amount) plus any administrative fees owed before September 30thJune 30, 2024 I may incur additional costs for collecting the amounts due under this Agreement, including reasonable attorneys attorney’s fees, court costs and collection agency fees. I release my rights under the Xxxxxxx Amendment and agree to allow the College to release my financial information to my employer. Questions and Assistance Mailing Address Xxx Xxxxxx – Student Accounts Xxxxx Xxxxxxx Financial Aid Central Penn College 1-800-759-2727 ext. 2224 2261 Business Office E-mail: xxxxxxxxx@xxxxxxxxxxx.xxx 000 Xxxxxxx Xxxx XxxxOffice