2021–2022 CORPORATE DEFERMENT CONTRACT
Florida Institute of Technology
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Oce of Account Management
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150 W. University Blvd., Melbourne, FL 32901-6975
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321-674-7428
acctmgmt@t.edu
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oridatech.edu
20210401
Student Name _________________________________________________________________________ Student ID __________________________________________
Student Address ___________________________________________________________________________________________________________________________
City______________________________________________________________ State____________________________ ZIP ____________________________________
Home Phone_______________________________ Work Phone______________________________ Email _________________________________________________
Campus Attending_______________________________________ Company Name ____________________________________________________________________
VALID EMPLOYER APPROVAL DOCUMENTATION MUST BE SUBMITTED WITH EACH CORPORATE DEFERMENT CONTRACT, OR CONTRACT
WILL NOT BE PROCESSED. Employer approval documentation should be in the form of a letter on company letterhead or the company’s
reimbursement approval document. It must identify the student and state the individual’s eligibility to participate in the company’s tuition
reimbursement program. The document must be signed by either the student’s supervisor or human resources department representative.
An email sent by a supervisor or HR representative does not qualify as approval documentation.
Students using only VA Chapter 30 and 35 benets can submit the VA-issued certication document. No VA Chapter 33 benets are deferred.
The student’s signature on this form conrms that the student agrees to the following terms and conditions:
1. The student is responsible for full payment of all tuition, fees and charges incurred as a student of Florida Institute of Technology. Due dates
for deferred semesters are strict, and payments must be remitted by the published due date to avoid additional nance charges. Holds for
registration, graduation and transcripts will be applied to students who do not pay by the Corporate Deferment Program payment due date.
Failure to pay may result in using an outside collections agency or attorney to recover the debt.
2. Completed forms must be received by the contract due date listed below to avoid compounding nance charges of 1.5% per month. If the
student withdraws during the semester, payment will be due immediately, based on the university’s withdrawal/refund policy as published in
that semester’s schedule of classes.
3. Finance charges are based on an amount of 1.5% of the total balance due, compounded monthly, and will be added to all balances not paid
by the published due date.
4. If placed with an outside collection agency or attorney, the student agrees to pay any attorney costs incurred and collection costs up to 40%
of principal plus nance charges. Finance charges are compounded at 1.5%.
5. Florida Tech reserves the right to deny any student the privilege of participating in the Corporate Deferment Program. Registration and
program participation may be reviewed for cancellation if the deferred balance for any previous semester is not paid by the published due
date as listed below.
6. The student understands that they will not be authorized to receive ocial transcripts and/or a diploma until any outstanding balance has
been paid in full and the account balance is zero.
DEFERMENT TERM CONTRACT DUE DATE PAYMENT DUE DATE
Fall 2021 Aug. 16, 2021 Jan. 21, 2022
Spring 2022 Jan. 3, 2022 June 17, 2022
Summer 2022 May 2, 2022 Sept. 16, 2022
Student Signature _______________________________________________________________________ Date __________________________
Last First Middle Initial
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