Wheeling Jesuit University Monthly Payment Plan Application

New Students, Sophomores, Juniors, and Seniors

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

Heartland ECSI c/o Wheeling Jesuit University TPP Application
PO Box 1278
Wexford, PA 15090

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

Student Information

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
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 (T1812) 12 $50.00 05/01/2018 04/01/2019 07/25/2018
10 Month Plan (T1810) 10 $50.00 07/01/2018 04/01/2019 09/25/2018
5 Month Fall Plan (T18F5) 5 $35.00 07/01/2018 11/01/2018 09/25/2018
5 Month Spring Plan (T18S5) 5 $35.00 12/01/2018 04/01/2019 02/25/2018

Student Status
Tuition: Select One
Academic Year ($27,000.00)
One Semester Only ($14,545.00)
 
Housing: Select None or One
Sara Tracy - Double - Annual ($5,400.00)
Sara Tracy - Double - Semester ($2,700.00)
McHugh - Double - Annual ($5,400.00)
McHugh - Double - Semester ($2,700.00)
Campion - Double - Annual ($5,400.00)
Campion - Double - Semester ($2,700.00)
Kirby - Double - Annual ($5,400.00)
Kirby - Double - Semester ($2,700.00)
Ignatius - Double - Annual ($5,400.00)
Ignatius - Double - Semester ($2,700.00)
Steenrod - Double - Annual ($5,400.00)
Steenrod - Double - Semester ($2,700.00)
Sara Tracy - Single - Annual ($7,010.00)
Sara Tracy - Single - Semester ($3,505.00)
McHugh - Single - Annual ($7,010.00)
McHugh - Single - Semester ($3,505.00)
Campion - Single - Annual ($7,010.00)
Campion - Single - Semester ($3,505.00)
Kirby - Single - Annual ($7,010.00)
Kirby - Single - Semester ($3,505.00)
Ignatius - Single - Annual ($7,010.00)
Ignatius - Single - Semester ($3,505.00)
Steenrod - Single - Annual ($7,010.00)
Steenrod - Single - Semester ($3,505.00)
 
Meal Plan: Select None or One
225 Meals + $150 Flex - Annual ($4,500.00)
225 Meals + $150 Flex - Semester ($2,250.00)
150 Meals + $350 Flex - Annual ($4,500.00)
150 Meals + $350 Flex - Semester ($2,250.00)
75 Meals + $200 Flex - Annual ($1,970.00)
75 Meals + $200 Flex - Semester ($985.00)
50 Meals + $200 Flex - Annual ($1,470.00)
50 Meals + $200 Flex - Semester ($735.00)
 



Mandatory Fees: (Select all that apply)
New Student Fee *** ($205.00)
Student Activity Fee - Academic Year ($200.00)
Student Activity Fee - One Semester Only ($100.00)

Notes:
*** New Student Fee is required only for your first semester of school at Wheeling Jesuit University.


Optional Fees: (Select all that apply)
Additional Fees
Graduation Fee (Degree Certification) ($265.00)
Parking ($160.00/billed annually)
ID Card ($35.00/initial charge)

Semester Charges
Science Lab - First Class - Fall Semester ($220.00/class)
Science Lab - Second Class - Fall Semester ($220.00/class)
Science Lab - First Class - Spring Semester ($220.00/class)
Science Lab - Second Class - Spring Semester ($220.00/class)
Nursing Fee Fall Semester ($590.00/semester) Billed 1 clinical course a semester for NUR 230C, 309C, 319C, 405C, 422C
Nursing Fee Spring Semester ($590.00/semester) Billed 1 clinical course a semester for NUR 230C, 309C, 319C, 405C, 422C
ATI Testing - Sophomore Nursing ($1,125.00/annually) Billed only Spring Semester for NUR 230D
ATI Testing - Junior Nursing ($1,125.00/annually) Billed only Spring Semester for NUR 319D
Clinical Science Fee (Respiratory Therapy, Nuclear Med) Fall Semester ($525.00/semester)
Clinical Science Fee (Respiratory Therapy, Nuclear Med) Spring Semester ($525.00/semester)
Malpractice Insurance (approximately $30.00 annually)
Professional Communications Fee - First Class - Fall Semester ($105.00/class)
Professional Communications Fee - Second Class - Fall Semester ($105.00/class)
Professional Communications Fee - Third Class - Fall Semester ($105.00/class)
Professional Communications Fee - First Class - Spring Semester ($105.00/class)
Professional Communications Fee - Second Class - Spring Semester ($105.00/class)
Professional Communications Fee - Third Class - Spring Semester ($105.00/class)
Athletic Training Fee ($160.00/year)
Tuition Over Hours - Fall Semester - 1 credit over 18 hours ($735.00)
Tuition Over Hours - Fall Semester - 2 credits over 18 hours ($1,470.00)
Tuition Over Hours - Fall Semester - 3 credits over 18 hours ($2,205.00)
Tuition Over Hours - Spring Semester - 1 credit over 18 hours ($735.00)
Tuition Over Hours - Spring Semester - 2 credits over 18 hours ($1,470.00)
Tuition Over Hours - Spring Semester - 3 credits over 18 hours ($2,205.00)
Psychology Fee ($20.00/class)
Psychology Research Liability Insurance ($20.00/class)
Audit Fee ($212.00/class)


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 Wheeling Jesuit University. 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.


Federal Subsidized Stafford Loan:
______________________
Federal Unsubsidized Stafford Loan:

 ______________________
Federal Plus Loan:

 ______________________
Federal Perkins Loan:

 ______________________
Additional Loans, Grants and Scholarships:

 ______________________


Deposits

Direct Payments to WJU:
______________________


Payment Plan Totals

Total Tuition and Fees:
______________________
(-) Less Financial Aid:

 ______________________
(-) Less Deposits:

 ______________________
Total Amount to Finance:

 ______________________ (Tuition and Fees minus Financial Aid and Deposits)
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.


Billing and Payment Information
Please sign me up for Electronic Bills
Electronic Bills replace paper bills, provide 100% of the same information, are archived for up to 10 years, and are available within minutes of preparation. When an electronic bill is prepared, you will receive an Email notifying you to return to our web site and review your billing statement.

Complete your payment options below.
Automatic Payments from Checking/Savings

You can make each future payment automatically from your checking or savings account. To do so, please check the box below and fill in the following information. If you are required to make a payment now, you will be given the opportunity to do this after submitting the application.
I would like to sign up for automatic payments
Account Holder Name: __________________________________________
Account Type: Checking Savings
ABA/Routing Number: __________________________________________
Account Number: __________________________________________
I (we) hereby authorize Educational Computer Systems, Inc. to initiate debit entries to my (our) account in the entity named above ("institution"), and I (we) authorize the institution to accept and to debit the amount of such entries to my (our) account. A one-time debit shall be made to cover the application fee and any past due payments. A debit shall be made each month equal to the amount due for that month's payment.