University of Fort Lauderdale Enrollment Agreement: Costs,

UNIVERSITY OF FORT LAUDERDALE OFFICE OF ADMISSIONS 4131 NW 16THSTREET, LAUDERHILL, FL 33313 PHONE (954) 486-7728FAX: (954) 486-7667 ENROLLMENT AGREEMENT This enrollment agreement, in conjunction with University of FortLauderdale's catalog, constitutes the entire agreement between University of Fort Lauderdale and the student. The entire agreement covers the student's enrollment period until commencement or until the student withdraws/is withdrawn from the University. Textbook Costs The cost of textbooks is not included in the quoted tuition.Upon successful submission of the enrollment form, you may purchase textbooks from University of Fort Lauderdale's Library. If indicated by a professor, you may also purchase textbooks from an outside vendor. PERSONAL INFORMATION (Please type or print.) Mr.Ms.Mrs.SexMaleFemale Name Last_________________________________________First ______________________________ Middle____________________ Former Name: _________________________________________________________________________________ Date of Birth_____ / ______ / ______________________________________________________________ MonthDayYearPlace of BirthSocial Security Number Country of Citizenship: _________________________________Native Language: ________________________ _____________________________________________________________________________________________ Permanent AddressCityStateZip ________________________________________________________________________________________________________ Current Mailing AddressCityStateZip Home Telephone () ____________________________Work Number () ____________________________ E-mail Address: __________________________________________________________________________________________ Are you a UFTL employee?YesNoAre you a dependent of a UFTL employee?YesNo PROGRAM INFORMATION _____________________________________________________________________________________________ Program of Study Expected Start Date: _____/_____/____Expected Commencement Date: _____/_____/____ MonthDayYearMonthDayYear PAYMENT INFORMATION I will pay all applicable fees and tuition for each semester by the first day of each semester. I will pay any applicable application and/or registration fees for each semester, plus 50% of my student activity fee, library fee and tuition by the first day of each semester. I will then make arrangements with the Bursar's Office to pay the remainder of my fees and tuition before the end of each semester. I am applying for financial aid. If for any reason financial aid is not approved for this semester, I agree to be responsible for 100% of my tuition and student fees. A degree will not be granted until the tuition plan is paid in full. You may accelerate payments if you intend to graduate prior to completion of the payment schedule.