EmailMe Form - International Tuition Contract 2023-2024

Student's Name: *

First Last

Date of Birth:

MM / DD / YYYY

Grade in 2023-2024: *

9th Freshman

10th Sophomore

11th Junior

12th Senior

International Agency Name: *

If no agency is involved put parent name. List home address for agency address and parent as representative.

International Agency Address: *

Street Address City State / Province / Region Postal / Zip Code Country / Region

International Agent Representing Student *

If no agency is involved put parent name or family member name in town. Same with email below.

International Agent Email: *

INTERNATIONAL SMHS PROGRAM CHOICE *

One-Year Program

Diploma Program (INTENT TO GRADUATE)

DIPLOMA PROGRAM TUITION AND FEES:
Registration Fee: $1000 (paid March 9, 2023)
Tuition: $16,000 (1/2paid by June 15, 2023).
TOTAL: $17,000 (Balance paid by Jan. 4, 2024)

Registration Fees and International Student Tuition must be paid directly to St. Mary's High School. Information on wiring money can be found at the bottom of the page. Any fees related to the Local Coordinator or Host Family must be paid directly to those individuals. St. Mary's High School will not serve as the agent for this purpose.

Signature *

TUITION POLICY:
Failure to meet proficiency expectations or abide by policies outlined in the SMHS Family Handbook, including dress code, drug testing, academic integrity, and failure to attend, may result in a return to the host country without a refund of tuition or fees.

OBLIGATIONS:
I/we agree to pay tuition IN FULL by the specified deadline. If not paid in full, the international student will not be allowed to attend classes. Transcripts of grades will be withheld until all obligations have been met.

NOTIFICATION OF WITHDRAWAL:
There will be a $1,500 early withdrawal fee assessed for ANY withdrawal prior to the last day of the 2023-2024 academic year.

Signature: *

Today's Date: *

MM / DD / YYYY

USD Wiring Instructions: Foreign Currency

Beneficiary Name: Committee for Catholic Secondary Education in Colorado Springs
Beneficiary Account : 0190015917

Receiving Bank: 5 Star Bank
ABA/Routing#: 307087713