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DATE: ______________ I, _____________________ _________________________ have been (print name) (signature) advised that Non-Academic Staff Association (NASA) representation is available to assist me with this meeting, however, I have chosen to deny such representation in favour of proceeding on my own accord. I am aware of the time limits under the Board/NASA collective agreement that must be followed to file a grievance. ___________________________ _________________ Witness Date cc: Copy to Employee
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