Billing and Financial Permissions Form

Campus ID #

You can lookup your Campus ID number here. (It will be a string of characters following the pattern 'P0000#####')

Houghton Email

FAFSA

Have you completed the FAFSA?

Do you plan to complete the FAFSA?

If you fill out a FAFSA, you will automatically have federal loans added to your financial aid package, unless you indicate below that you choose to decline them:

Do you want to accept the Federal Direct Subsidized Loan for fall semester?

Do you want to accept the Federal Direct Subsidized Loan for spring semester?

Do you want to accept the Federal Direct Unsubsidized Loan for fall semester?

Do you want to accept the Federal Direct Unsubsidized Loan for spring semester?

Have you ever taken federal student loans?

TAP

Are you a NYS resident?

Do you plan on completing the NYS TAP application?

If you are a NYS resident and receive the Employee Tuition Assistance Grant (ETAG) or the Founder’s Promise Scholarship, you are required to fill out a TAP application.

Course Load

Do you intend to be full-time for fall semester at 12 credits or greater?

Do you intend to be full-time for spring semester at 12 credits or greater?

If you do not intend to be full-time, please contact SFOS as it may change the amount of financial aid you receive.

Student Signature

I understand that I am responsible for all obligations and charges to my Houghton University student account as described in the college catalog. I also understand that I am responsible for reasonable attorney’s fees and/or collection fees on any past due account. I agree to reimburse Houghton University or a third party servicer acting on its behalf the fees of any collection agency which may be based on a percentage at a maximum of up to 39% of the debt, and all costs and expenses, including reasonable attorney’s fees that are incurred in such collection efforts. I authorize Houghton University to use my Federal Title IV Financial Aid funds to cover all applicable institutional charges, as well as non-institutional charges (e.g. health insurance fees). I authorize Houghton University to apply Federal Title IV Financial Aid to prior-year charges up to a maximum of $200, if I have enough financial aid to cover my current year charges and have excess financial aid. I understand that this agreement will be in effect during the time I have an open account with Houghton University. I understand that if there is a credit on my account, I can request that a refund be issued to me in the amount of my credit balance, or if I have loans, I can request that some or all of my credit balance be returned to the lender within 30 days of disbursement.

By signing below, I acknowledge that I am fully responsible for my university bill, sent via electronic notification to my Houghton University email address. I understand that it is my responsibility to add authorized users within the electronic billing system, such as parents/guardians, if I would like them to receive billing statement notifications. I acknowledge my consent to participate in electronic billing transactions for any/all financial information, including notices and authorizations for all Federal State, and Institutional aid and billing.

I hereby give Houghton University, its agents and third-party processors permission to contact me by any known method (including cell phone, email, etc.) regarding my student account or any amount due on my student account.

Click to Sign...

Confirmation of Electronic Signature *

I, the student filling out this form, warrant the accuracy of the information I have provided herein. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to all of the conditions specified in this form.

I agree

Signature Date

Billing and Financial Permissions Form

Houghton University
1 Willard Avenue
Houghton, NY 14744

+1-800-777-2556
+1-585-567-9200
admission@houghton.edu

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