Deposit Refund Request Form

The Office of Global Engagement Program Withdrawal Policy is in effect with regard to refunds of Program Deposits. On the occasion a circumstance arises where it is appropriate to provide a refund of a deposit paid by a student on a StudyAway program, the Deposit Refund Request form should be submitted to the StudyAway Business Office.

Requestor's Name *

Requestor's Email *

Student's Name *

Student's ID # * 🛈

Program Name *

Term *

Deposit Amount Paid * 🛈

Date Paid * 🛈 +

Method of Payment *

Justification for Refund Request *

Additional Document (optional) 🛈