* Please initial each section verifying that you have read and understand the terms of this payment agreement.
*_____ Personally Responsible – I owe the full amount of tuition/fees and am personally responsible for making the above
payments. If I add or drop a class I am responsible to check Self-Service to view my adjusted balance. I will not be allowed to
register for additional classes or for future semesters until the balance is paid in full.
*_____ Payments – I will make regular payments based on my financial situation until my balance is paid in full. I understand I
need to make a payment every month. If I am able to pay more often I will. If I cannot make a payment I need to communicate
with the Business Office and inform them of my situation.
*_____ Due Date – I understand the full amount of tuition & fees must be paid by July 17, 2020.
*_____ Financial Aid – If I receive Financial Aid or other financial assistance, I understand the College may use those funds to
reduce or pay off the balance of my account before I receive any money from such aid. If I “do not” receive Financial Aid, or my
awards are adjusted, I understand that I am personally responsible for making the payments due on my account.
*_____ Financial Holds – The College will not issue transcripts and reserves the right to withhold my grades, diplomas,
subsequent registration, etc., until my account is paid in full.
*_____ Failure to Pay – I understand that if I fail to pay off my account balance by the due date, the College can require
immediate payment of the entire balance. The College may refer the account to an outside collection agency and an additional
33% of the outstanding balance will be added to my account.
*_____ SEE THE ACADEMIC CALENDAR FOR THE LAST DAY TO RECEIVE A 100% REFUND. IF I WITHDRAW AFTER THIS DATE, I
UNDERSTAND I WILL STILL OWE TUITION AND FEES.
*_____ How to Pay – I can pay my tuition and fees using self-service or in person or over the phone.
Please print clearly:
Name________________________________________ CEI Student ID #_________________________________
Address______________________________________ Phone (____) ___________________________________
City, State, Zip_________________________________ Email__________________________________________
I agree to the above term and conditions: Signature____________________________ Date_________
If student under age 18 -- Guardian Signature____________________________ Date__________
CEI USE ONLY
Anticipated Financial Aid amount at time of signing______________________________________________________
ID verified____________ CEI Approval___________________________________ DATE______________________