Summer Installment Payment Plan Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form should be used to request an Installment Payment Plan (IPP) for Summer at CSUMB. This is not your final IPP contract. You will receive an email from Student Account Receivables with instructions for your next steps after your request is approved.

IMPORTANT: This IPP request form may NOT be used for any Extended Education Degree Program (e.g. Nursing, CS, MIST, SICP, MBA, MSPA) or Teaching Credential Education and Leadership students. For information about payment options for these programs please contact your adviser or coordinator.

REMINDER: Payments will be divided in 2 or 3 depending on the session. A additional $33 IPP fee will be applied.

The following information is required for the Student Account Receivables Office to identify you and qualify your request.

First Name *

Last Name *

Student ID

9 digit Student ID number (i.e. 000XXXXXX), if you do not have one leave this questions blank

Email Address *

Please use your CSUMB email if you have one.

Have you fully enrolled in summer classes? *

If you have not enrolled or requested to enroll in classes yet, please do so before submitting this IPP request.

Yes, I am fully enrolled.

No, my enrollment is still pending.

Other:

What type of student are you? *

Note: This Installment Payment Plan request form is NOT for Summer Nursing or Teaching Credential - Education and Leadership students. For information about payment options for these programs, please contact your program coordinator.

Current CSUMB Student

Non-CSUMB Student (Community member)

Bilingual Authorization Program Student (BCLAD)

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cal State Monterey Bay. Report Abuse

Forms