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STUDENT’S FULL NAME:
STUDENT’S DATE OF BIRTH: / /
MM DD YYYY
HIGH SCHOOL:
INSTRUCTOR/COURSE:
PARENT NAME:
PARENT PHONE:
) -
PARENT E-MAIL:
Information
Eastern Promise provides the opportunity for high school students to participate in college-level courses and earn
credits or certificates at a reduced tuition rate. Eastern Promise is a collaboration between Blue Mountain Community
College, Eastern Oregon University, Treasure Valley Community College, the InterMountain Education Service District and
many school districts in Eastern Oregon.
Please submit forms by one of the following:
MAIL OR IN PERSON TO: Eastern Promise Oce
Eastern Oregon University
Inlow Hall, Room 109
One University Boulevard
La Grande, OR 97850-2807
SCAN AND SUBMIT TO: E-mail: ep@eou.edu
Submission of the Eastern Promise Application obligates the legal guardian to pay tuition and fees incurred by attend-
ing classes through Eastern Promise. I understand my student is attending Eastern Promise and will accrue a balance
at Eastern Oregon University, and I accept all financial responsibility. This forms expires at the end of the current aca-
demic year.
SIGNATURE (Legal Guardian): DATE
One University Blvd., La Grande, OR 97850 | Phone: 541-962-3941 | Fax: 541-962-3036 | E-mail: ep@eou.edu | Web: eou.edu/eastern-promise
11/15
Eastern Promise
Parent Financial
Responsibility
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