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Evening Enrollment Confirmation
Congratulations on your admission to Notre Dame de Namur University! We look forward to welcoming you to our campus.
Enrollment Deposit:
In order to secure your place in the incoming class and confirm your financial aid,
you must submit this completed form along with your non-refundable $100 enrollment deposit.
Final Official Transcripts:
Please don’t forget to submit your final transcript(s).
All college and university transcripts must have final grades
. Transcripts must arrive in the sealed envelope from the issuing high school or college/university to be considered official.
I understand that my admission is contingent upon the fulfillment of any conditions which may be specified in my admission letter.
* Items starred are required
Personal Information
Last/Family Name:
*
First Name:
*
Middle Name:
Social Security # (required if seeking federal financial aid):
Mailing Address:
*
E-Mail:
*
City:
*
State or Territory:
*
Zip Code:
*
Home Phone:
*
Cell Phone:
What is your enrollment decision?
*
Yes, I plan to enroll at NDNU
I am requesting to defer my admission (*see below)
No, I am deferring my education indefinitely.
No, I plan to attend another university/college (please specify)
No, I plan to attend another university/college (please specify)
If you answered YES above, when do you plan to attend NDNU?
Spring 2019
Summer 2019
Fall 2019
Spring 2020
Summer 2020
Fall 2020
I am applying for financial aid and have completed the FAFSA
I will complete the FAFSA (school code 001179)
If you would like to DEFER, which semester would you like to attend NDNU?
Spring 2016
Summer 2016
Fall 2016
Spring 2017
Summer 2017
Fall 2017
Spring 2018
Reason for request:
Please note that a deferral is available for a maximum of one academic year from the original date of
admittance.
Billing Information
(If you do not complete all of the following information, your enrollment will not be confirmed.)
Date (mm/dd/yyyy):
Student ID #:
Student Name:
Amount to Bill:
Name on Card:
Credit Card Type:
Visa
MasterCard
American Express
Discover
Credit Card Number:
Security code (on back of card):
Expiration Date (mm/yy):
(Credit Card Billing) Street Address:
(Credit Card Billing) Zip Code:
(Credit Card Billing) Phone Number:
If you have any questions regarding your admission, please contact us at (650) 508-3600.
Clicking the submit button below serves as your electronic signature that you have read the enrollment deposit form, agree to the above terms, and grant permission to NDNU to charge your credit card the amount listed above.
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