Extension Refund / Adjustment Form

Student Information

Name*
Select Schedule Modification*

Credit Card Information

Please provide in the event we need to charge your credit card with additional fees or send a refund.

Name on Credit Card*
Expiration Date*
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Drop and/or Add a Class/s

How many classes do you want to drop?*
How many classes do you want to add?*

Class/s To Drop


Class/s To Add


IMPORTANT POLICY INFORMATION


Please note: Only drop requests made before the start of class qualify for a full tuition refund. Any non-refundable fees paid (registration, insurance, and lab fees) will be retained.


Drop requests made after the first class and before the second class will be awarded a partial refund based on the following criteria:

-10% of tuition and all non-refundable fees will be retained if your class is scheduled to meet 11 or more times

-15% of tuition and all non-refundable fees will be retained if your class is scheduled to meet 6-10 times

-30% of tuition and all non-refundable fees will be retained if your class is scheduled to meet 3-5 times


Per policy, drop requests made after the second class meeting will receive no refund. All requests outside of policy should be directed in writing to Refund Committee at otisce@otis.edu. All out of policy requests submitted through this system will be denied.

I have read and agree to the policy stated above.*

Withdraw from a Class/s


POLICY


In the event that the drop deadline has passed, certificate level students should withdraw from their course. A grade of "W" will be assigned and will have no effect on the grade point average. Failure to complete a course does not constitute an official withdrawal nor does notifying the instructor. Students who do not meet the withdrawal requirements receive a failing grade.

I have read agree to the policy stated above.*

Status Change

Select Current Status*
Select New Status*

Enter information for each class you wish to apply the status change to.


POLICY


Any requests to change status must be completed by the end of the second class meeting.

I agree to abide by the policy stated above.*

Registration Staff

This section is to be completed by the Assistant Registrar for Extension at Otis College of Art and Design.

Select one option:*
$
Tuition Cost x Percentage
$
$
$
Method of Payment*
$
Extension Approval*
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Business Office

Extension Approval*
Processed*
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