Tuition Agreement Template

TUITION PAYMENT AGREEMENT

Date: Date

Between:

Educational Institution: Institution Name

Address: Institution Address

AND

Student/Responsible Party: Name

Address: Address Student ID: ID Number

1. PROGRAM INFORMATION

Student Name: Student Name

Program: Program Name

Academic Year/Term: Year/Term

Expected Graduation: Date

2. TUITION AND FEES

Total Amount Due: Total Amount

Breakdown:

• Tuition: Amount
• Registration fee: Amount
• Technology fee: Amount
• Lab/Equipment fee: Amount
• Library fee: Amount
• Student activity fee: Amount
• Other fees: Amount

3. PAYMENT PLAN

Option Selected: Full payment/Installment plan

### Full Payment Option

• Total: Amount
• Due Date: Date
• Discount: Amount or Percentage if paid by Date

### Installment Plan

Number of Installments: Number

Payment Schedule:

• Installment 1: Amount - Due Date
• Installment 2: Amount - Due Date
• Installment 3: Amount - Due Date
• Additional installments

Installment Plan Fee: Amount

4. PAYMENT METHODS

Payments accepted via:

• Bank transfer to: Account details
• Credit/Debit card (processing fee may apply)
• Check payable to: Institution Name
• Online payment portal: URL
• Other methods

5. LATE PAYMENT

Late Fee: Amount or Percentage if payment not received by due date

Grace Period: Days

Consequences of Non-Payment:

• Account hold (preventing registration, transcripts)
• Late fees assessed
• Referral to collections
• Dismissal from program
• Legal action for debt recovery

6. FINANCIAL AID AND SCHOLARSHIPS

Financial Aid Applied: Yes/No

Amount Expected: Amount

Status: Pending/Approved

Scholarships/Grants:

• Scholarship name: Amount
• Grant name: Amount

Net Amount Due: Total - Aid/Scholarships

Note: If financial aid is not approved or is less than expected, student responsible for balance.

7. REFUND POLICY

Withdrawal/Drop Policy:

• Before semester starts: Percentage% refund (minus non-refundable fees)
• Within first week: Percentage% refund
• Week 2-4: Percentage% refund
• After week 4: No refund

Non-Refundable Fees:

• Registration fee
• Application fee
• Other specific fees

Course Drop:

Refund based on institution's add/drop policy

8. OBLIGATIONS OF RESPONSIBLE PARTY

The undersigned agrees to:

• Pay all tuition and fees according to schedule
• Notify institution of payment difficulties
• Provide current contact information
• Be responsible for collection costs if account sent to collections
• Pay returned check fees: Amount

9. DEFAULT

Default occurs when:

• Payment is Days overdue
• Check is returned for insufficient funds
• Payment plan agreement is broken

Institution may:

• Assess late fees
• Place hold on account
• Prevent class registration
• Withhold transcripts and diplomas
• Refer to collections (responsible party pays collection costs)
• Pursue legal action

10. ACCOUNT HOLDS

Account holds prevent:

• Course registration
• Transcript requests
• Diploma issuance
• Access to certain services

Hold Released: When account is paid in full

11. ADDITIONAL COSTS

Student may incur additional costs for:

• Course materials and textbooks
• Supplies and equipment
• Field trips or study abroad programs
• Retake or makeup examinations: Amount
• Late registration: Amount
• Transcript requests: Amount per copy

12. COURSE CHANGES

Add/Drop Period: First Days/Weeks

Financial Impact:

• Dropped courses may affect refund
• Added courses increase tuition due
• Course changes after deadline may incur fee: Amount

13. FINANCIAL RESPONSIBILITY

Acknowledgment:

I understand that I am financially responsible for all charges incurred, regardless of:

• Financial aid eligibility
• Parent or third-party payment commitments
• Insurance or employer reimbursement
• Billing errors (must be reported within Days)

14. COMMUNICATION

Billing statements sent to:

Email: Email Address Mailing Address: Address

Responsible party agrees to:

• Check email regularly for billing notices
• Update contact information promptly
• Review statements for accuracy

15. ENROLLMENT CONTINUATION

Continued enrollment depends on:

• Account in good standing
• Timely payment of all fees
• Compliance with institution policies

Institution may: Withdraw student for non-payment

16. TERMINATION

Student may withdraw: Per institution's withdrawal policy

Institution may terminate for:

• Non-payment
• Violation of policies
• Academic reasons

Upon termination:

• Final statement issued
• All outstanding balances due immediately
• No further services provided until paid

17. GOVERNING LAW

This agreement governed by laws of Jurisdiction.

18. AMENDMENTS

Institution may modify fees and policies with notice for future terms. This agreement applies to current term only.

SIGNATURES:

I acknowledge that I have read, understood, and agree to the terms of this Tuition Payment Agreement.

Student:

Signature: _______________________

Name: Student Name

Date: _______________________

Parent/Guardian/Responsible Party:

Signature: _______________________

Name: Name

Relationship to Student: Relationship

Date: _______________________

For the Institution:

Signature: _______________________

Name: Name

Title: Title

Date: _______________________