First Name : Last Name :

Student ID# - - -

SS# - - Telephone No.: - -

Email: @ hotmail.com yahoo.com aol.com comcast.net

(OTHER)

Address:

City: ,State Zip Code

Please complete and return this form to the above address. The non-refundable $150 acceptance fee(cashier's check or money order) confirms your upcoming enrollment. Confirmation is required three weeks after your acceptance is received. For best results, return this form with the required fee as soon as possible.

I accept your offer of admission for Fall 2012 Spring 2013

Please cancel my admission for Fall 2012 Spring 2013

       I want to defer my enrollment until Fall 2012 Spring 2013 Please send me a supplemental application so that I can reactivate my admission application.(Supplemental applications will be mailed two weeks after classes begin)

       I plan to enroll at another College/University

                  that is closer to home

                  that offers more financial aid and/or scholarship

                  that provided more efficient (faster) service