Summer Management Institute Registration Form

Home College
Financial Responsibility Statement
I hereby agree as follows:

Payment of Tuition
I hereby acknowledge that I have voluntarily and freely elected to participate in a summer study program and that my participation in summer study is not required. I understand that participation in the Program requires full payment of Bucknell University tuition, to be paid according to the Bucknell University Finance Office's established summer billing schedule.

Payment of Program Fees
I understand that my participation in the Freeman Summer Management Institute program will also require my payment of the Program Fee, which will cover program costs in excess of the tuition fees (housing, course materials, transportation to ancillary activities, etc.). The Program fee will be billed in May, separate from Tuition billing according to the Bucknell University Finance Office's established billing cycle.

Withdrawal Policy
I acknowledge that if l withdraw from the Freeman Summer Management Institute Program prior to May 10, that I will be responsible for all unrecoverable costs incurred on my behalf. Should I withdraw from the program after May 11, I understand that all program costs (program fee, course materials, or other program related expenses) will be my responsibility and will be charged to my student account. I understand that only a percentage of tuition will be credited if withdrawing between the first day of classes, May 25, through the summer institute mid-point, June 14; after the mid-point date, June 14, no credit for tuition will be issued. If applicable, housing charges will be retained for each day spent on campus, per the University Housing policy.

By accepting this Summer Financial Responsibility Statement you are stating that:

I have carefully read this Financial Responsibility Statement before accepting it. No representations, statements or inducements, oral or written, apart from the foregoing written statement have been made. I understand and agree to the Financial Responsibility statements above.

This Agreement shall be effective upon agreement, and shall be governed by the laws of the state of Pennsylvania, which shall be the forum for any lawsuits filed under incident to this agreement or to the Program.
Do you agree with the Financial Responsibility Statement?