Cerritos College Student Activities Fee Waiver Form printable pdf download

Cerritos College Student Activities Fee Waiver Form

1. Complete form and take to the Student Activities Office for Verification.

2. After Student Activities take to Admissions and Records for processing of your refund.

3. You must complete one and two in order to get a refund.

I _____________________, Student Id Number ____________understand by waiving the Cerritos

College Student Activities Fee I will not be eligible to participate in many of the academic, cultural, and

social events and activities offered by the Associated Students of Cerritos College.

I understand that the Student Activities Fee would provide easier access, additional convenience and

services across the campus, in the community and much more.

I also waive my right to participate in Student Body elections and awards programs held each semester.

I understand that the money collected from the Student Activities Fee supports many of the programs and

services at Cerritos College which I choose not to participate in or support.

________________________________

__________________________________

Full Name of Student

Signature of Student

___________________________

Date Fees were paid by Student

New Student: ______ Continuing Student: _____

***IMPORTANT***

You have seven (7) working days from the time you pay your fees to return this form to the

Admissions and Records Office for a refund. Just remember to take to Student Activities first for

signatures.

*As a continuing student you must take your current ID card with you to verify it does not

have a current semester sticker, and

**If the sticker has been marked for any activity or event the fee is non-refundable.

***No refund will be given later than the second week of the session.

For office use only!!

Please initial next to the appropriate item(s) as they apply to the individual listed above.

____ Student Presented ID Card

____ Student states, never had a ID Card

____ No Current Semester Sticker

____Removed Current Semester Sticker

______________________________________________

________________________

Student Activities Employee

Date waiver verified

______________________________________________

________________________

Admissions Employee

Date refund recorded

(completed forms will be maintained by the Office of Student Activities)

Cerritos College Student Activities Fee Waiver Form