Associated Student Body (ASB) REFUND Form
The money collected from the Student Activities fee supports the many student organizations/clubs on
campus, as well as academic, cultural, and social events and activities offered by the Associated Student
Government at SBVC.
To receive a refund of the fees, complete the following steps and return to Admissions and Records for
review.
Students must submit the ASB refund form no later than the published fee payment deadline or within
one week of registering for classes.
Section I Student’s Personal Information
Student Id Number
Name
Email Address
Address
City
State
Zip
I understand by requesting a refund, I will not be eligible to receive any goods/prizes during any social
events and activities offered by the Associated Student Government.
Student Signature
Section IIAcknowledgement from ASG (Signature from Student Life Representative)
Signature
Date
Section III A&R Use Only
Date form received
Student Registration Date
Activities Fee Paid: ___Yes ___No
Student Submitted refund Within One Week of Registration ___Yes ___No
Student Eligible for refund: ___Yes ___No
Section VI – Approved By A&R Director
Signature
Date
NOTE: Refunds are processed by the distrcit office, mailed to address on file and may take up to 10
weeks for processing
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome