JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Module Payment Plan Form
Please complete the following form to help set up your payment plan for the next module.
If you have any questions, please contact our Billing Manager. (
pandy@calvarychapeluniversity.edu
)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Identify the Module in which you need to set up a payment plan:
*
Spring 1
Spring 2
Spring 3
Summer 1
Summer 2
Summer 3
Fall 1
Fall 2
Fall 3
Required
Identify the amount of tuition (in dollars) you want to set up a payment plan for:
*
Your answer
How many payments? Note: Please plan make your first payment by the first day of the module and to have tuition paid in full by the 7th week of the module
*
1
2
3
4
5
6
7
Identify when you want the payments to be set up for payment.
*
Weekly
Bi-weekly
1st and 15th of the month
Weeks 1, 3, 5, and 7
Weeks 2, 4, and 6
Other (see next box to write details)
Please write dates or other details for your payment plan (if applicable).
Your answer
Amount per payment. Take the amount owed and divide it by the number of payments you want to make to determine the amount of each payment.
*
Your answer
At this time, ACH payments are not accepted. All payments will be set up in Populi, and you will need to submit all payments through the Populi system, please be respectfull and pay them on time or contact Pandy to make changes.
*
Yes, I have read and understand that ACH payments are not accepted and all payments must be made through Populi.
No, I have questions regarding the payment plans. If so, please contact Pandy at
pandy@calvarychapeluniversity.com
Late payments may result in being withdrawn from a class.
*
Yes, I understand that late payments may result in a withdrawal from my course(s).
No, I have further questions regarding late payment. If so, contact Pandy at
pandy@calvarychapeluniversity.com
Students who choose to use the payment plan must submit 20% of the cost for each course enrollment by the start of each module.
*
Yes, I understand that a 20% deposit for each course is due by the first day of each module
No, I have further questions regarding the 20% deposit for each course that is due by the first day of each module.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Calvary Chapel University.
Report Abuse
Forms