New Student Enrollment Form

"The ASC is my coach through my math journey at RIT."

Enrollment Form & Billing Statement

* Denotes required field

Term*
First Name*
Last Name*
UID*
Date	Thursday, 05/02/13
RIT Email
Year Level
College
Academic Plan
Gender	Male Female
Address	Resident Commuter
Campus/Local Address
Cell Phone
Parent First Name
Parent Last Name
Parent Address
Parent City
Parent State
Parent Zip Code
Parent Phone
Parent Email
Level of Structured Monitoring Enrollment	Level 1: $440 - Individual appointment once a week (1 hour per appointment) Level 2: $880 - Individual appointment twice a week (1 hour per appointment)
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.