EmailMe Form - Student Fees Form

Student Status *

Prospective/New Student

Current/Returning Student

Student ID Number *

Do not include dashes, enter as 123456789

Student Name *

First MI Last Suffix

Email *

Please enter email to receive payment confirmation.

Permanent/Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please select all that apply.

Fees will apply to the academic semester: *

Fall

Spring

Prospective Student Fees *

Enrollment Deposit ($75)

(ALL FEES ARE NON-REFUNDABLE)

Current Student Fees *

Housing Application Fee ($75)

(ALL FEES ARE NON-REFUNDABLE)

Name that will appear on credit/debit card *

First MI Last

Please enter the name of the card holder.

Are additional family members attending New Student Orientation? *

Yes, additional family members are attending Orientation

No, I will be attending Orientation alone

No. of family members attending Orientation *

Family member fee ($50 per person)

$ Dollars

Please enter the total based on the number of family members attending Orientation. Amount will be verified against New Student Orientation form.

Housing GL Code

Application GL Code

Enrollment Deposit GL Code