Please print and complete this application, then mail it to:

ECSI c/o Presbyterian College TPP Application
181 Montour Run Rd
Coraopolis, PA 15108

If you need help completing this form, please contact ECSI toll free at 866-927-1438.

Student Information

Social Security Number:


___________________________________________________________

Student ID Number:

___________________________________________________________

Name (First MI Last):

___________________________________________________________

Address 1:

___________________________________________________________

Address 2:

___________________________________________________________

City/State/Zip:

___________________________________________________________

Email:

___________________________________________________________

Home Phone:

___________________________________________________________

Work Phone:

___________________________________________________________

Fax Phone:

___________________________________________________________

Cell Phone:

___________________________________________________________


Person Financially Responsible

Social Security Number:


___________________________________________________________

Name (First MI Last):

___________________________________________________________

Address 1:

___________________________________________________________

Address 2:

___________________________________________________________

City/State/Zip:

___________________________________________________________

Email:

___________________________________________________________

Home Phone:

___________________________________________________________

Work Phone:

___________________________________________________________

Fax Phone:

___________________________________________________________

Cell Phone:

___________________________________________________________


Tuition Payment Plan
Select a plan: Select One
  Description Months Fee Start Date End Date Sign Up By
12 Month Plan (T0812) 12 $45.00 04/15/2008 03/15/2009 04/10/2008
Regular Annual Plan (T0810) 10 $45.00 06/15/2008 03/15/2009 08/25/2008
Fall Semester Plan* (T08F5) 5 $35.00 06/15/2008 10/15/2008 08/25/2008
Spring Semester Plan* (T08S5) 5 $35.00 11/15/2008 03/15/2009 01/07/2009
Lump Sum Payment Due Now (T0801) -- $0.00 -- -- 9/10/2008
*Notes: (1) "Study Abroad" students-not eligible to use Tuition Payment Plan during semester abroad. Study Abroad programs require payment in advance. Students may participate in TPP for the other semester. (2) Advance or Escrow Deposits-ineligible for payment using the Tuition Payment Plan. Deposits must be paid directly to Presbyterian College.


Student Status
Tuition: Select One
Annual ($25,472.00)
Semester ($12,736.00)
 
Housing: Select None or One
Typical Double-Annual ($3,942.00)
Typical Double-Semester ($1,971.00)
Single*-Annual ($4,874.00)
Single*-Semester ($2,437.00)
Super-single*-Annual ($5,252.00)
Super-single*-Semester ($2,626.00)
Carol International House-Annual ($4,436.00)
Carol International House-Semester ($2,218.00)
Senior Hall-Annual ($5,596.00)
Senior Hall-Semester ($2,798.00)
Townhouse-Annual ($5,388.00)
Townhouse-Semester ($2,694.00)
Scottish Arms Apartments-Annual ($3,138.00)
Scottish Arms Apartments-Semester ($1,569.00)
 
Meal Plan: Select None or One
Any 17 Meal Plan-Annual ($4,122.00) (#Kilt Cash-$100/year)
Any 17 Meal Plan-Semester ($2,061.00) (#Kilt Cash-$50/semester)
Any 8 Meal Plan+-Annual ($2,564.00) (#Kilt Cash-$300/year)
Any 8 Meal Plan+-Semester ($1,282.00) (#Kilt Cash-$150/semester)
 
See Notes on Next Page.
Notes:
* Single Room-Room designed for one (1) occupant. Super-Single Room-Room designed for two (2) occupants but assigned to one (1) occupant for an extra fee to ensure that no roommate will be assigned to the room.
# "Kilt Cash" may be used at Springs Campus Center, Greenville Dining Hall and the Depot. Additional information on the website: www.presbydining.com.
+ Available only to residents of Senior Hall, Townhouses, Scottish Arms Apartments, student teachers and commuters.


Mandatory Fees: (Select all that apply)
General Fee-Annual ($2,038.00)
General Fee-Semester ($1,019.00)
Technology Fee-Annual ($392.00)
Technology Fee-Semester ($196.00)

Optional Fees: (Select all that apply)
Note: Choosing fees on this application will only include them in the amount to be paid on this payment plan. All necessary paperwork must still be completed at Presbyterian College.
Applied Music Fee (1/2 hour credit)-Fall (one class) ($265.00)
Applied Music Fee (1/2 hour credit)-Fall (two classes) ($530.00)
Applied Music Fee (1/2 hour credit)-Fall (three classes) ($795.00)
Applied Music Fee (1 hour credit)-Fall (one class) ($425.00)
Applied Music Fee (1 hour credit)-Fall (two classes) ($850.00)
Applied Music Fee (1 hour credit)-Fall (three classes) ($1,275.00)
Applied Music Fee (1/2 hour credit)-Spring (one class) ($265.00)
Applied Music Fee (1/2 hour credit)-Spring (two classes) ($530.00)
Applied Music Fee (1/2 hour credit)-Spring (three classes) ($795.00)
Applied Music Fee (1 hour credit)-Spring (one class) ($425.00)
Applied Music Fee (1 hour credit)-Spring (two classes) ($850.00)
Applied Music Fee (1 hour credit)-Spring (three classes) ($1,275.00)

Additional special fees may be required for matriculation or graduation at Presbyterian College. However, those fees do not qualify for payment utilizing the Tuition Payment Plan. Additional information is available on the Presbyterian College website: www.presby.edu/stuact.


Deposits:

Advance Deposit ($300)-Paid by upperclassmen. Deduct the Advance Deposit from the contract amount to be paid to Presbyterian College.


All Other Deposits: ______________________ (Total of all deposits and pre-payments you have already made or any credits on your student account.)

Notes: Advance Deposit ($300)-Paid by upperclassmen. Deduct the Advance Deposit from the contract amount to be paid to Presbyterian College. Escrow Deposit ($400)-Paid by incoming freshmen and transfers and held until graduation or withdrawal from Presbyterian College. Do not deduct Escrow Deposit from the contract amount.

Deposits may NOT be paid to Presbyterian College through the Tuition Payment Plan. Deposits must be paid directly to Presbyterian College.


Financial Aid:
(as it appears on your award letter. Do not include Work Study.)
Your award letter-includes loan amounts offered to you. All loans require paperwork which must be completed to apply for the loan funds. Include in the calculation below only those loans for which you intend to apply. If you do not intend to apply for loans offered on your award letter, do not include them below. If you have questions about loan types or amounts, please contact the Financial Aid Office at Presbyterian College. If you apply for loans that are denied, you are responsible for the amount of the loan. You may contact ECSI and adjust your contract by that amount.

DO NOT USE COMMA, DOLLAR SIGNS or SPECIAL CHARACTERS

Federal Subsidized Stafford Loan:


______________________

Federal Unsubsidized Stafford Loan:

______________________

Federal Plus Loan:

______________________

Federal Perkins Loan:

______________________

All Other Loans:

______________________

All Grants and Scholarships:

______________________ (Including private-such as Vocational Rehabilitation, State, and Federal scholarships and grants)

529 Plan or other State Pre-Pay Plans:

______________________

Any other Third Party Payments (employer, etc):

______________________



Payment Plan Totals

Total Tuition and Fees:


______________________

(-) Less Deposits:

______________________

(-) Less Financial Aid:

______________________

Total Amount to Finance:

______________________ (Tuition and Fees minus Deposits minus Financial Aid)

Monthly Payments:

______________________ (Total Amount to Finance divided by number of months in selected plan)

Application / Participation Fee:

______________________


First Payment :

______________________ (Includes months past due and application/participation fee)

- The application fee is due immediately. If the plan has not yet started, your first monthly payment is not due until the first due date.

Any unpaid balance on the student account at the end of the tuition payment plan period is due directly to Presbyterian College upon receipt of an invoice.


Billing and Payment Information
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