CCE Refund Application

Refund Request

Term:

Amount Requested $:

Program:

(i.e. Summer Session, Winter Intersession, Open University, etc.)

Reason for Request:

Course Dropped

Course Cancelled

Other -Please explain:

Refund Fees:

Submission of this form does not guarantee a refund. Requested refund amount and actual refund amount may differ. Approved refunds will be sent by eRefund or check.

Policies:

I certify that I understand the CCE Refund policy for the term in which I am requesting, and that this refund if approved will incur a $10 refund processing fee unless the course was cancelled. Late registration and re-enrollment fees are non-refundable.

Dropping Classes:

I understand that submission of this form does not drop me from any classes.

Requestor Information

Name:

First Name

Last Name

Student ID#:

Email:

Organization:

Title:

Address:

Address 1

Address 2

City

State

Zip

Daytime Phone:

Alternate Phone:

Special Needs:

The College of Continuing Education respects your right to privacy. Any information given to us when requesting course or program material will be used solely for the purpose of answering or responding to your request. We do not sell or otherwise distribute your personal information. We may, however, use it to provide you with advanced notices of our course offerings. If at any time you wish to be removed from our mailing lists, you may contact us and your request will be processed immediately.

CCE Refund Application

Refund Request

Requestor Information

Privacy Policy: