A
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n
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u
u
a
a
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C
C
a
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m
m
p
p
u
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s
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A
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c
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c
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F
F
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A
A
u
u
t
t
h
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o
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r
r
i
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z
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a
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t
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o
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n
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F
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I hereby authorize a payroll deduction for the annual campus
access fee each fiscal year, at the rate in effect for the year, for
the length of my full-time or permanent part-time employment
(with benefits) with Southwest Tennessee Community College.
I understand the affected pay periods and exact deduction
amount for each pay period will be determined and published
by the Vice President for Financial and Administrative Services.
NOTE: A campus access fee is due each fiscal year from
all college employees who are in full-time or permanent
part-time employment (with benefits) status as of July 1 of
each year.
Employee Signature
Date
Employee Name (Please Print)
Social Security Number
Employee Name (Please Print)
Social Security Number
04/03/2014