FINANCIAL RESPONSIBILITY AGREEMENT
Thank you for choosing Eastern Florida State College. In addition to all Eastern Florida State College (EFSC)
academic standards and
policies, I hereby agree to comply with the terms and conditions specified in this
Registration and Financial Responsibility
Agreement in order to enroll for courses at EFSC. I also agree to abide by
rules and regulations described in the EFSC Catalog and
EFSC Student Handbook.
wledge that any activity I conduct through EFSC indicates my agreement to the specified terms and
conditions, including my
agreement to be financially responsible to EFSC for payment of all tuition, fees and related
costs of enrollment for classes in which I
am registered whether or not I attend the class.
I understand that course(s) must be dropped before the end of the drop period in order to be eligible for a full
refund. It is my
responsibility to drop my classes as the college will not automatically drop them for me.
I acknowledge that if I withdraw from a course(s) after the end of the drop period, or if I am administratively
withdrawn for non-
attendance or other reasons, I will be responsible for repaying any applicable Bright Futures
Scholarship funds, Federal Title IV
financial aid funds, or any other amount due as a result of the withdrawal. Any
reduction in financial aid based on nonattendance will
result in a balance due to EFSC.
I understand past due student account balance will result in a financial hold, which prevents future registrations as
well as other
services being offered in accordance with college policy. I understand and agree that EFSC will
withhold transcripts, diplomas, and
other services until all outstanding balances have been satisfied in full.
I acknowledge that all outstanding obligations (along with appropriate personal information including social security
number) may be
referred to an outside collection agency and credit reporting bureaus.
I understand that I am responsible to reimburse EFSC the fees of any collection agency, which may be based on a
percentage not to
exceed 33% of the debt, including attorney fees and court costs.
In addition, I agree to allow EFSC and its agents to contact me at any cell phone number that I provide now or use
in the future,
using automated telephone dialing systems, artificial or pre-recorded voice or text messages, or
personal calls regarding my
obligation to repay my debts to the EFSC.
I also authorize EFSC or its agents to contact me via my easternflorida.edu address or an email address that I
provide to EFSC. I
understand that others may be able to review my messages and/or emails related to my debts
sent to or from EFSC including their
contents, which may include information about my debt and its status.
I understand that EFSC uses Titan E-mail, a free student email system, as the official means of communication for
students. Financial Services utilizes this system for notifications regarding student accounts. Students
should maintain and check their
EFSC e-mail accounts regularly.
I understand this agreement shall be construed in accordance with Florida law, and any lawsuit to collect unpaid
fees may be
brought in the appropriate court sitting in Brevard County, Florida, regardless of my domicile at the
time of bringing such action.
I understand by signing this form, I am agreeing to all terms and conditions set forth herein above and agree to the
any other related documents. I enter into this Registration and Responsibility Agreement with full
knowledge of its legal implications
and without coercion and/or promises made to me by the college. I also agree
and acknowledge that prior to agreeing to this
Agreement, I have the right and option to discuss the terms and
conditions herein with a private attorney at my sole expense.
___________________________________________ _________________ B ____________________________
Student Signature Date Student ID Number
Received by: ________________________________________ Term: _____________________________________
click to sign
click to edit
click to sign
click to edit