• Advanced Degree Loan Agreement

    Form 3391

  • Member Agreement

    To be completed by member.

  • Please note, a maximum amount of $5,250 will be reimbursed per calendar year for full-time members and $2,625 for part-time A and part-time B members.

  • * ("Borrower") acknowledges receipt from Haworth, Inc., (“Haworth”) of a non-interest bearing advanced degree program loan in the amount of $* (“Loan").

    *I understand that this is an estimated cost for my advanced degree.*

  • The entire principal balance of the Loan shall be forgiven

    (i) if Borrower voluntarily remains employed by Haworth for two years after submitting a reimbursement request for an advanced degree course, or

    (ii) if Borrower becomes disabled as defined by the Social Security Act, or

    (iii) if there is a change in control of Haworth Inc. or

    (iv) if member’s employment is terminated by Haworth Inc.

    The unpaid principal balance of the Loan shall become immediately due and payable without notice or demand if Borrower voluntarily terminates employment with Haworth within 730 calendar days (2 years) of submitting a reimbursement request for an advanced degree course 100% of loan must be repaid back to Haworth.

    In addition to any other remedies available to Haworth, upon voluntary termination of employment, Borrower consents to a deduction from final payment of wages for the unpaid balance of the Loan, and acknowledges Haworth’s right to set off any additional indebtedness against vacation, commission, bonus or other benefits, compensation, or reimbursement owed Borrower.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Haworth, Inc. Advanced Degree Repayment Schedule

  • Amount Financed: ${input24:shorttext-2}

    Estimated maximum cost of the education reimbursement for completion of requirements of advanced degree course. This loan agreement will be modified to the exact amount of the education costs. 

    Payment Schedule

    If member voluntarily resigns within 730 calendar days (2 years) of submitting a reimbursement request for an advanced degree course 100% of loan must be repaid back to Haworth.

    Prepayment

    This loan may be paid in full without penalty.

  • Supervisor Approval

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: