Request for Refund - Commuter Services Supplemental Fee (Organizations)

1. INTRODUCTION

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* 1. REQUEST FOR REFUND PROCESS: This form is provided by the Madison College Student Senate for agencies, businesses, employers, municipal departments or school districts that fund the education of employees, trainees or students enrolled in degree-credit courses at Madison College; and furthermore whose leadership believes that they should not be required to pay the $46 Commuter Services Fee ($26 fee for summer), which supports Bus, Para-Transit, Parking and Shuttle services for students. As such, this online form must be completed in its entirety and submitted within the semester (or summer session) for which the agency, business, employer, municipal department or school district is contesting the $46 fee ($26 fee for summer). Submissions must be received by midnight of the day on which tuition and fees bills are to be paid in-full. Submission of this form does NOT exempt an agency, business, employer, municipal department or school district from paying the $46 fee ($26 fee for summer) by the payment due date written on the billing statement. Any balances due to the college are ultimately the responsibility of the student who has been enrolled. Unpaid balances result in the student not being able to register for future classes, not having access to official transripts and / or being ineligible for graduation and / or transfer.

Submissions will be considered, decisions made and communicated by mid-October for Fall Semester, mid-March for Spring Semester and mid-July for Summer Session. The decision of the Student Senate will be communicated to the agency, business, employer, municipal department or school district via the e-mail address submitted on this online form. The decision of the Student Senate is final. Refunds will made, as appropriate.

Please indicate that you have read the refund process described above:

FIRST/LAST NAME

JOB TITLE

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* 2. EXPLANATION OF SUPPLEMENTAL FEES: Supplemental fees are paid by degree-credit students at Madison-based campuses, including "Senior Audit Students, Contract Students and Dual-Enrollment Students." These students are eligible for Student Activities, Programs and Services. They have access to Fitness Centers, the Health Center and to the Commuter Services Program (bus, para-transit, parking and shuttle).

"Youth option Students, Online-Only Students and Transcripted / Dual-Credit Students" do NOT pay supplemental fees. They are not eligible for Student Activivites, Programs and Services and have no access to Fitness Centers, the Health Center ad no access to the Commuter Services Program (bus, para-transit, parking , shuttle)m unless they choose a "buy-in option." These students may "buy-into" the Student Activiities-Commuter Services-Fitness-Health program by paying $75 persemeter or summer session. These students may buy a parking pass ONLY, by paying $25 per semester or summer session.Degree-credit students based at regional campuses do not pay supplemental fees and are therefore not eligible for Student Activities, Programs and Services. They have no access to Fitness Centers and no access to the Bus-Para-Transit-Shuttle Program. (Regional Campuses: Fort Atkinson, Portage, Reedsburg & Watertown.)

NOTE: Some categories of non-degree students, by law, cannot be assessed supplemental fees, and therefore if they want access to Student Activities, Programs and Services, Fitness Centers, the Health Center and the Commuter Services Program, they must pay a fee of $75 /semester or summer and specifically request access to the package of activities, programs and services.

Degree-credit students based at regional campuses do NOT pay supplemental fees and are therefore not eligble for Student Activivites, Programs and Services. They have no access to Fitness Centers, the Health Center and no access to the Commuter Services Progrom. (Regional Campuses: Fort Atkinson, Portage, Reedsburg and Watertown.)

Please indicate that you have read the explanation of supplemental fees above:

FIRST/LAST NAME

JOB TITLE

Question Title

* 3. CONTACT INFORMATION FOR THE REPRESENTATIVE SUBMITTING THIS FORM:

First / Last Name:

Title:

Street Mailing Address:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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