New Student Enrollment Form

"The Writing Center staff was really helpful and I have been back many times since"

Enrollment Form & Billing Statement

* Denotes required field

First Name*
Last Name*
UID*
Date	Friday, 05/25/12
RIT Email
Year Level
College
Academic Program
Gender	Male Female
Address	Resident Commuter
Campus or Local Address
Cell Phone
Parent First Name
Parent Last Name
Parent Address
Parent City
Parent State
Parent Zip Code
Parent Email
Level of Structured Monitoring	Level 1: $440 - Individual appointment/one time a week (1hour) Level 2A: $880 - Individual appointments/twice a week (1 hour/1 hour) Level 2B: $880 - Individual appointments/three times a week (1 hour/ 1/2 hour/ 1/2 hour)
Structured Monitoring sessions are non-refundable. These sessions are customized and offer the flexibility of entry at any point in the quarter. In the case of an Institute Withdrawal, refund will be made in accordance to Institute policy.