APPLICATION FOR EMPLOYER DEFERRED TUITION PAYMENT
In order to be eligible for Saint Louis University’s deferred payment plan, you must:
1. Pay all tuition and fees not covered by your employer by tuition due date. Complete this information
and submit it to:
Carolyn Merkel, One Grand Blvd., DuBourg Hall, Room 121, St. Louis, MO 63103
Phone: 314-977-2405; Email: carolyn.merkel@slu.edu
2. Provide a copy of your employer’s tuition policy upon request.
3. Submit a new form each semester.
TO BE COMPLETED BY STUDENT
Semester deferment is requested:
Credit hours registered for in semester:
Start and end dates of semester:
TO BE COMPLETED BY EMPLOYER
I certify that the above-named applicant is employed by this organization and is eligible for tuition benefits in
the amount of $ __________ or __________% for the semester.
By filling out this and submitting this form, the student agrees to the following:
1. I understand that if I do not achieve the required grades for my employer to provide payment or drop
courses, I must make payment arrangements for balance due before enrolling for future terms.
2. I understand that it is my responsibility to provide grades, bills, or other documentation to my
employer for proper payment. I am responsible for all fees or finance charges that are added to my
account.
3. If my employment or employment benefits change during the semester, I will notify the student
financial services office (314-977-2405) and make payment arrangements for my courses.
4. I understand that any misuse, misrepresentation or inability to follow procedures may result in
disqualification from Saint Louis University’s tuition deferment option.
