Bank Street College Graduate School Request for Refund/Waiver of Charges

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Instructions: This form can only be submitted after you are registered for the affected term. Complete this form and submit it, and any additional documentation, to the the Refund Committee at rpc@bankstreet.edu prior to the last day of the term. ONLY COMPLETED FORMS WILL BE ACCEPTED. Registration fees are non-refundable.

Email *

Full Name *

Bank Street ID# *

Last 4 digits of SSN

Semester and Year (example: Fall 2018) *

Reason for request of refund/waiver and description of charges* (Indicate the reason, also provide supporting documentation. See below.) NOTE: Registration fees are non-refundable.

Additional Documentation

Thank you for submitting your Refund Request or Waiver of Charges. If you have supporting documentation of your extenuating circumstance, please be sure to send a copy (scanned PDF or .jpg file) to the Refund Committee at rpc@bankstreet.edu. Please include your name and Student ID# in the email.

All requests will be reviewed by the Refund Committee at their next convening. You will be notified via email once a decision has been reached.

Please bear in mind, Registration Fees are non-refundable, as published online and in the Academic Catalog.

A copy of your responses will be emailed to the address you provided.

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