2013-2014 TUITION REMISSION FORM

Tuition Remission must be requested on an annual basis.

Please fill in all the required fields below and click the submit button.

By signing, you understand that you meet the requirements for eligibility for the tuition remission benefit provided by your employer.

Student Name:

Eligible Employee Name:

Statement of Eligibility: As an employee of (check off one of the following), I am eligible for tuition remission for my son, daughter or spouse who is attending Bryn Athyn College*.

General Church EmployeeBryn Athyn Church EmployeeBryn Athyn Church School EmployeeAcademy of the New Church Secondary Schools EmployeeBryn Athyn College Employee

* Please refer to your employer’s tuition remission policy for details.

Please sign this form by typing your name and the date below. By clicking "Submit", you are stating that all information contained in this form is complete, factually correct, and honestly presented.

Eligible Employee Signature:

Date:

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