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Returning Student Enrollment Form

Returning Student Enrollment Form

Returning Student Structured Monitoring

* Denotes required field

Term*
First Name*
Last Name*
UID*
Date Wednesday, 05/22/13
RIT Email
Year Level
College
Academic Program
Gender Male Female
Address Resident Commuter
Campus or Local Address
Cell Phone
Previous Learning Specialist
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.**