NSU Payment Plans

Student’s Name______________________________________________________________________________________ Last First Middle Initial NSU ID: N_________________________________ Daytime Telephone Number___________________________________ PAYMENT PLAN INFORMATION NSU students (excluding international students) who wish to defer payment of their tuition, fees, and other institutional charges due at the time of registration may sign up for a 4-month (fall) and/or a 4-month (winter) or a 3-month (summer only) payment plan. Students may defer payment for any balances remaining on the account after all discounts, financial awards/resources, and other credits have been applied. To apply for a monthly payment plan, the student must submit a completed Monthly Payment Plan Application and a $75, nonrefundable application fee to the Office of the University Bursar. Eligible students will then receive a payment plan contract listing their payment schedule, and terms and conditions. PLEASE NOTE: Students may not enter into a payment plan agreement unless all prior balances have been paid in full, and they are registered for the semester(s) to be covered under the plan. SECTION 1: AMOUNT TO BE DEFERRED The amount a student may defer is based on the information available on the student’s account at the time the contract is created. The final balance owed for the semester may change. The amount to be deferred is calculated as follows: Estimated Costs – Funding Sources = Amount to be Deferred Estimated costs include, but are not limited to, tuition, fees, insurance, housing, and meals. Funding sources may include grants, scholarships, loans, and other sources such as the Florida Prepaid College Plan. Students may view their student account and financial aid awards in SharkLink at https://sharklink.nova.edu . Semester: ____________________________ Estimated Costs Estimated Funding Sources Tuition and Fees $ Financial Aid * $ + Other Institutional Costs $ + Other Sources $ TOTAL A $ TOTAL B $ Please subtract TOTAL B from TOTAL A for the Amount to be Deferred = *When calculating with Federal Stafford Loans, keep in mind that your lender will assess processing fees. Therefore, the amount credited to your student account is less than the amount listed on your financial aid award notice. SECTION 2: PAYMENT PLAN SELECTION Please select the payment plan you wish to apply for by checking the appropriate box. 4-Month Fall/4-Month Winter—Application due by July 1 4-Month Fall Only—application due by July 1 3-Month Summer Only—Application due by April 1 4-Month Winter Only—Application due by November 1 SECTION 3: STUDENT CERTIFICATION I understand that the Office of the University Bursar will create a payment plan contract based on the information available on my student account and this application. I certify that I have read and understand the Terms of the payment plan contract (see next page). I am instructing the NSU Office of the University Bursar to send the payment plan contract as follows: (Choose one option only. Please print.) via email to _________________________________ via fax to____________________________________ NOVA SOUTHEASTERN UNIVERSITY Enrollment and Student Services Office of the University Bursar 3301 College Avenue, Fort Lauderdale, Florida 33314-7796 (954) 262-5200 • 800-541-6682 • Fax (954) 262-2473 Monthly Payment Plan Application Please check form of fee payment: check money order/cashier’s check credit card authorization form web payment date____________ My $75 nonrefundable application fee is attached. I understand that I must be registered for the semester the plan is to cover and that my application will not be processed without the fee. Signature_ _____________________________________________________________________ Date_ __________________________ via U.S. Postal Service to: _____________________________________________________________ _____________________________________________________________