Your Information First Name Middle Name Last Name Address City State Zip Code County (PA only) Email Phone Employer (School District) Position Professional Personal ID (PPID from PDE) Emergency contact name and telephone Are you a new student? Yes No Do you require handicap accessibility? Yes No Student ID Number Date of Birth Gender Male Female Please type the year and semester for which this registration applies Course Registration 1. Course Number and Section Course Title Course Day(s) and Time(s) Deferred Payment Would you like to defer your tuition payment until 30 days after the last day of class ($25.00 non-refundable fee per course)? Yes No Wilson College Graduate Education Programs students may choose to defer their tuition payment until 30 days after the last class meeting. There is a non-refundable $25.00 fee, per course, associated with this option. The fee will be added to your account, and will be payable 30 days after the last class meeting, along with your tuition payment. If you are applying for/or receiving Financial Aid, please check with the Financial Aid Office prior to choosing this option. All other college policies apply. Wilson Terms and Conditions / Default of Financial Obligations It is the student's responsibility to inquire to the Office of Financial Aid to determine if she/he qualifies for Financial Aid for this semester. Please contact the Business Office with questions concerning payment. All payments must be made to the Business Office. *I agree that in default of any financial obligation to Wilson College, I agree to pay all costs and expenses incurred by Wilson College, including collection agency costs and reasonable attorney fees, in collection of any sum that is due. *If agree that if I owe a financial obligation to Wilson College, Credit Bureau reports may be reviewed by collection agencies. *I understand that in the event of default that academic transcripts and grades will not be released until the debt is paid in full. *By agreeing and submitting this form, I agree that the above information is correct, and confirm my understanding of the Financial Obligation as described above. I agree that the information entered into this form is correct, and understand my Financial Obligation as described above. I agree Submit Leave this field blank