Financial Disclosure Statement

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This form is required to be completed by all Bard College students. It serves as acknowledgement and understanding of the student’s financial responsibility to Bard College.

Email *

Last Name *

First Name *

Middle Initial *

Address *

Cell Phone *

Other Phone *

Last 4 Digits of SSN (If you do not have a social security number just enter 0000) *

Bard College ID Number (9 digits) *

Acknowledgement of Terms

I understand and agree to the following information:

- All applicable charges for tuition, fees and other associated costs assessed as a result of my registration and/or receipt of services for my student account is available on-line via CashNet, Bard’s online billing and payment processor. Notifications of available e-bills are sent to my Bard College email address.

- I am responsible for reading and understanding the College’s refund policies regarding part-time status, a leave of absence, or a withdrawal from the College. I can find this information at www.bard.edu/studentaccounts/refunds/

- I am responsible for authorizing third parties (i.e. parents) access to my student account information by establishing “Parent/Authorized Users” via CashNet. “Parents/Authorized Users” can receive e-billing notification, view student account information, and are able to make online payments.

- Failure to pay my balances by the posted deadlines will result in a student account hold which can prevent participation in course registration and/or changes in course registration, release of transcripts, and receiving a diploma.

- A finance charge of one percent (1%) is assessed on my past due balances each month (minimum $1.00).

- If my account is delinquent, it may be referred to an external collection agency. I agree to pay all collection charges, based on a percentage of the outstanding debt (maximum 33.33%). I agree to pay all costs and expenses, including attorney’s fees incurred in such collection efforts.

- I understand that Bard College and their respective agents and contractors are authorized to contact me regarding any debt due to the college at the current or any future number provided (cellular phone or other wireless device) using automated telephone dialing equipment, artificial or pre-recorded voice or text messages. Bard College reserves the right to utilize any and all student documentation provided to any and all College offices for collection purposes.

- I am responsible for reading the Bard College Catalogue section on “Expenses”, found at www.bard.edu/catalogue/

I have read and understand the information contained on this form and agree to pay all tuition and fees incurred while I am enrolled at Bard College. *

Yes

By checking yes above, this is your signature agreeing to all terms of the Financial Disclosure.

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

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