TUITION DEFERRAL PROGRAM (TDP) AGREEMENT

Graduate Students Only

Identify your program (check one):

MBA / Executive MBA / NURSING

THIS SECTION MUST BE COMPLETED BY STUDENT (Please Print)

Academic Year: 20____ to 20____ / Student ID#: / Preferred Phone#:
Student Name:
Street Address:
City/ST/ZIP:
XU Email Address: / @xavier.edu / OtherEmail Address:

The purpose of this Agreement is to confirm my participation in the Tuition Deferral Program (TDP) which defers the due date formy tuition up to 45calendar days after the end of my class(es) for the semester. In order to participate in the Tuition Deferral Program (TDP), I must adhere to the following:

  • I will be charged a one-time$50.00 Enrollment Fee for the TDP as long as I am enrolled for consecutive semesters. This amount will be posted to my Xavier ePayment site and must be paid at the start of my first semester. If I skip a semester, I will be charged another Enrollment Fee if I decide to reenroll in the TDP.
  • Tuition is due in full no later than 45calendar days after the final day of the semester. If the balance is not paid in full by this time, I understand that mycurrent and/or future class registration(s) will be cancelled.
  • This form must be completed by me and by my employer and submitted no later than 20 days prior to the start of classes.
  • All payments made to my account from another source (e.g., student loans, grants, etc.) are first applied to my unpaid tuition. These funds will not be refunded until my tuition has been paid in full.
  • If I am a degree seeking candidate, my bursar balance must be paid in full before my diploma and/or transcripts are released.
  • The University withdrawal policy applies to both student’s and employer’s share of tuition. Even if my employer has committed to paying all or part of my tuition, the charges are on my account and I am responsible for making sure the account is paid in full. Tuition reimbursement is between my employer and me. Xavier is extending a courtesy to me by deferring my tuition payment. I understand that I am liable for paying my bill, in full. It doesn’t matter if I leave my employer, if my employer revokes the education reimbursement benefit/goes out of business, or if I don’t meet the criteria for reimbursement.
  • All other fees, outside of tuition, will be paid by me in full each month.
  • I understand that my grade will NOT be adjusted to accommodate the reimbursement policies of my employer.
  • I understand that my Xavier email address is the official University communication channel.
  • It is my responsibility to notify my program coordinator if any information on this Agreement changes. If changes do occur, I understand that I must complete a new TDP Agreement and submit it to my program coordinator.

If my entire balance is not paid in full within 45calendardays after the final day of the semester, the University may take any or all of the following steps:

  • Assess a non-refundable late feeof 5% based on the past due balance and do this in each of the first two months then a 2% assessment in each of the months following, block future registrations, and place a hold on transcripts and diplomas.
  • Report the delinquency to the credit bureau(s).
  • Refer my account to a collection agency/law firm for the balance due plus all associated collection costs and legal fees.

I have read the guidelines for the Tuition Deferral Program (TDP). By signing below I understand that I am fully responsible for the timely payment of my tuition and fees.

Student Signature: / Date:
THIS SECTION MUST BE COMPLETED BY THE EMPLOYER
This section is to confirm that the student’s employer has an educational reimbursement policy. The Contact signature below does not, in any way, represent responsibility or a contract for payment by the student’s employer or Contact.
Name of Employer: / Print Contact Name/Title:
Contact Phone: / Contact Email: / Contact Signature:
Forward this completed form to: / Xavier University (TDP)
3800 Victory Parkway
Cincinnati, OH 45207-3361 / Or email it to: /
with TDP in the
Subject line / Or fax it to: / 513-745-2926
Attention: TDP

Revised 7/21/15