The University Of Scranton Application For Deferment Of Tuition Payment For Students With Employer Reimbursement Plan printable pdf download

The University Of Scranton Application For Deferment Of Tuition Payment For Students With Employer Reimbursement Plan

FFICE OF THE

URSAR

APPLICATION FOR DEFERMENT OF TUITION PAYMENT

FOR STUDENTS WITH EMPLOYER REIMBURSEMENT PLAN

In order to be eligible for deferment of your tuition payment, you must:

Pay all tuition and fees not covered by your employer by the normal due date.

Deferred tuition must be paid in full within 14 days after the release of grades.

In order to receive your diploma, all outstanding monies due must be paid prior to graduation.

Complete this information and submit it to the Bursar’s Office no later than one week after the first day

of classes for the term.

Provide a copy of your employer’s tuition policy, upon request.

Sumbit a new form for each term.

To Be Completed By Student

I request permission to defer payment of the ____________________ (term) tuition charges

that will be covered by my employer. I understand and agree that if this application is rejected

by my employer, or if I should leave my present place of employment, I will be responsible for

immediate and full payment of all tuition.

I am enrolled for _____ credits at a total cost of $ ____________.

Student Name: ________________________ Royal ID Number: _____________________

Student Signature / Date: _____________________________________________________

To Be Completed By Employer

I certify the above-named applicant is employed by this organization and is eligible for tuition

benefits in the amount of $ _______________ for the term indicated above.

Name of Organization: ____________________________________________________

Address / Telephone:______________________________________________________

Name / Title of Authorized Representative: ____________________________________

Signature of Representative: ________________________________________________

, P

18510-4694

CRANTON

ENNSYLVANIA

(570) 941-4062

: (570) 941-7595

The University Of Scranton Application For Deferment Of Tuition Payment For Students With Employer Reimbursement Plan