Exit

Contact Information

Please complete this application form if you are requesting to split your tuition into multiple payments.

Our Professional Education Tuition Installment Plan allows students to split their tuition into 4 monthly payments. All plans are interest-free.

Payment Plan Details:
• 25% of tuition is due at course registration with 25% due subsequent months 2 through 4.
• If the 15th of the month falls on a weekend or holiday, the payment will be taken on the Friday before the 15th.
• Participants in this program will provide credit card information on file. Payments will automatically be made by Professional Education on the 15th of the month.
• Please note that extensions cannot be granted past the installment plan agreement.

Question Title

* 1. Last Name:

Question Title

* 2. First Name:

Question Title

* 3. U of U Student ID (UNID) if known:

Question Title

* 4. Date of birth (MM/DD/YYYY):

Question Title

* 5. Mailing Address:

Question Title

* 6. City:

Question Title

* 7. State:

Question Title

* 8. Zip Code:

Question Title

* 9. Email address :

Question Title

* 10. Phone Number:

T