Fillable 2credit-noncreditclasswaiverform ORANGE COUNTY COMMUNITY COLLEGE

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2credit-noncreditclasswaiverform ORANGE COUNTY COMMUNITY COLLEGE

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ORANGE COUNTY COMMUNITY COLLEGE
MIDDLETOWN, NEW YORK
FACULTY, STAFF & CHAIRMEN AND ADJUNCT TUITION
WAIVER
CREDIT CLASSES
(Limit two (2) Faculty; Limit three (3) S&C -- per Academic Year)
Self
NON-CREDIT CLASSES ($100 limit each class)
(Limit two (2) per Academic Year)
(Limit one (1) per Academic Year for Adjunct)
Self Dependent/Spouse
EMPLOYEE: _____________________________________________________
Full time Day Adjunct Evening Adjunct
STUDENT: ______________________________________________________
DATES: ________________________________________________________
COURSE/CLASS: ________________________________________________
AUTHORIZED:
Human Resource Officer: __________________________________________
Date: ___________________________________________________________
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2credit-noncreditclasswaiverform ORANGE COUNTY COMMUNITY COLLEGE

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Completed 25 February 2020

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