Sheetz College Tuition Reimbursement Form – Fill Out and Use This PDF

MOUNT ALOYSIUS COLLEGE – CONTINUING EDUCATION

TUITION DEFERMENT PAYMENT PLAN FOR EMPLOYER REIMBURSEMENTS

SHEET Z/ NPC VERSION

The purpose of this application is to request deferment of the due date of your tuition until 45 days after the end of the semester. This plan does not cover fees or textbooks. In order to qualify for this plan you must:

1.Be currently employed by an organization which maintains a qualified tuition reimbursement program

2.Be accepted and enrolled in a Mount Aloysius College Continuing Education Special Program

3.Return this application along with the non-refundable application fee of $50 no later than two weeks prior to the beginning of the semester for which the deferment will apply.

Fees (e.g., the registration fee) and tuition balances not covered under the employer’s tuition reimbursement program must be remitted by the original due date. Payment in full of your tuition invoice must be received within 45 days of the end of the semester. Students with outstanding financial obligations will not be permitted to receive grades, transcripts, or diplomas, or to participate in graduation. Questions should be directed to the Controller’s Office at (814) 886-6368.

NOTE: This form must be completed for each semester that student is participating in the Tuition Deferment Payment Plan. This completed form must accompany the plan fee of $50 and the $30 registration fee for that semester.

APPLICATION FOR TUITION DEFERMENT

(Please print all information legibly)Semester:_______________________

Student Name: ________________________________________________ SSN: ________________________

Student Phone: Day _________________________ Evening _____________________________

GCE Program: ______________________________________________________________________________

Employer Name: ____________________________________________________________________________

Employer Address: __________________________________________________________________________

__________________________________________________________________________

Employer Human Resource Representative:

Name: _________________________________________________ Phone: ____________________________

Payment of the non-refundable application fee of $50 plus the registration fee of $30 must accompany this application. Method of payment:

___ Cash	___ Visa/MasterCard/Discover/American Express (circle one)
___ Money Order	Account Number ______________________________________________
___ Check	Expiration Date _______________

I understand the policies and procedures associated with the MAC Graduate and Continuing Education Tuition Deferment Payment Plan for Employer Reimbursements and I accept my financial obligation to the College.

Signature ___________________________________________ Date ________________________________

Rev. 1/07

MOUNT ALOYSIUS COLLEGE – OFFICE OF GRADUATE AND CONTINUING EDUCATION

TUITION DEFERMENT PAYMENT PLAN FOR EMPLOYER REIMBURSEMENTS

SHEETZ/NPC VERSION

The Mount Aloysius College (MAC) – Office of Graduate and Continuing Education (GCE) Tuition Deferment Payment Plan for Employer Reimbursements is designed to limit the out-of-pocket expenses for students enrolled in a Continuing Education Special Program course and employed by a qualified employer. Students who participate in this program must, at the beginning of each semester must complete a Tuition Deferment Form; pay the $50 program fee, the $30 registration fee, and the portion of their tuition and fees which will not be reimbursed by their employer. The balance of tuition and fees (the portion reimbursed by the employer) must be paid within 45 days after the end of the semester in which the course is taken.

For example, if a student’s bill is $645 tuition and $30 registration fee, and his or her employer reimburses 50% of the tuition, the student will owe $402.50 at the beginning of the semester ($50 program fee + $30 registration fee + $322.50 un-reimbursed tuition) and $322.50 (reimbursed by the employer) within 45 days after the end of the semester.

If a student drops a course during the semester, the student is responsible for paying the tuition balance immediately. Textbooks are not included in this program; the price of textbooks must be paid in full upon purchase.

Students interested in participating in this program must complete a tuition deferment application each semester no later than two weeks prior to the beginning of the semester to which the deferment applies. Qualified employers are those with a tuition reimbursement policy who have forwarded a copy of the policy to the Office of Graduate and Continuing Education and who verify the employment status of students.

Payments can be made by mail, by phone, or in person at the Controller’s Office, located on the first floor of the Main Administration Building. Acceptable forms of payment are cash, check, money order, or credit card (Visa, MasterCard, Discover, or American Express).

If you have any questions regarding the Mount Aloysius College Office of Graduate and Continuing Education Tuition Deferment Payment Plan for Employer Reimbursements, please contact the Controller’s Office at (814) 886-6368.

Rev. 1/07