Read 2026599_new.stu.aut.sum.pdf text version

autumn quarter 2011 summer quarter 2011

new student payment form

Instructions:

1. Pleaseprintcarefullysothatwecanaccuratelyprocessyourpayment. 2. Youmustreturnthispaymentformalongwiththe$272NewStudentEnrollmentandOrientationFee(NSEOF). 3. ThisformmustbecompletedbythedatespecifiedontheEnrollmentConfirmationInstructions,thenmailedwiththe EnrollmentConfirmationFormintheenvelopeincludedinthispacket. 4. PleasemakecheckspayabletotheUniversityofWashington.

IacceptmyofferofadmissiontotheSeattlecampusoftheUniversityofWashingtonandwishtoconfirmmyenrollment.

STUDENT'S NAME Last(Family)name

First(Given)name

Middlenameorinitial

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Quarter of Admission:

Autumn 2011

Summer 2011

UW STUDENT NUMBER

AS SHOWN ON THE ENROLLMENT CONFIRMATION INSTRUCTIONS

YOUR SIGNATURE

Choose one of the two options below:

I am enclosing the New Student Enrollment and Confirmation Fee (NSEOF) of $272. IamrequestingadeferraloftheNSEOF.

Deferral Request Instructions: The$272NSEOFisrequiredofallenteringUWstudentsandcannotbewaived.Itis

neitherrefundablenortransferabletoanotherquarter,anotherUWcampus,oranotherstudent.Ifyouarefinanciallyunable topaytheNSEOFbythedeadline,youmayrequestadeferral.Requestsareindividuallyevaluated. f Ifyourdeferralisapproved,thefeewillbeduewithtuitiononOctober14,2011(forstudentsenteringautumn2011), orJuly8,2011(enteringsummer2011). f Ifyourdeferralrequestisapprovedbutdonotenroll,yourpaymentisstillanobligationandduebythesedates. f Ifyourdeferralrequestisdenied,youwillbenotifiedviaemailandinstructedtopaytheNSEOF.Youradmissiontothe UniversityisnotconfirmeduntiltheNSEOFisreceivedandaccepted.

Important: Paying or requesting a deferral of the NSEOF is the only way to confirm your enrollment at the Seattle

campus of the UW. Enrolling or participating in any other UW program -- e.g., on-campus housing, the Honors Program, financial aid, ROTC -- does not confirm your enrollment at this campus.

Disability information

TheUniversityofWashingtoniscommittedtoprovidingaccessand reasonableaccommodationinitsservices,programs,activities,education andemploymentforindividualswithdisabilities.Torequestdisability accommodationintheapplicationprocess,contacttheDisabilityServices Officeatleasttendaysinadvanceat:206.543.6450/V,206.543.6452/ TTY,206.685.7264(FAX),[email protected]

Doyouhaveaphysicalormentalimpairmentwhichsubstantiallylimits oneormoremajorlifeactivitiessuchasseeing,hearing,speaking, walking,learning,working,etc.? Yes No YouranswerwillbeusedbytheStateofWashingtonforplanning purposes.ItwillalsobeusedbytheDisabilityResourcesforStudents Officetoprovideyouwithinformationaboutitsservices.This informationwillbeheldinthestrictestconfidence.

NSPF.SUM/AUT 2026599 / 03.09.11

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