STUDENT ACCOUNTS BILLING WORKSHEET INSTRUCTIONS * I M P O RTA N T * To fill out this form on your computer you MUST use Adobe Reader version 7 or higher. We strongly recommend downloading and installing the latest version and use the standalone application, NOT the browser plugin. If you are reading this in your browser, download this PDF to your desktop and open it with Adobe Reader. If you are unsure whether you have the required software, go here to get the latest version - http://get.adobe.com/reader/. This form uses auto-calculations for many fields. To ensure calculations remain accurate, TAB or click out of fields (instead of using return/enter) after entering data. If you would like to fill this form out manually, print the blank form out and follow the instructions below.

Helpful Links

Tuition/Fees and Payment Schedules - http://www.cca.edu/students/handbook/tuition_fees. Billing Statement - login to your WebAdvisor account at webadvisor.cca.edu. Please note that statement balances do not reflect pending financial aid.

Online Health Insurance Waiver - https://www.cca.edu/students/health/waiver Tuition and Housing Refund Policy - https://www.cca.edu/students/handbook/tuition-refund Form Section Student Info

Field(s)

Instructions

Name - Please enter complete information in the appropriate fields. CCA ID - Do NOT use your Social Security Number in place of your CCA ID Number. Your CCA ID is 7 digits long and should have been assigned to you when you were accepted to CCA. If you do not have a CCA ID number, please contact the Student Accounts Office. Undergraduate/Graduate

- You must check either the Undergraduate or Graduate checkbox to make use of the auto-calculation features in this form. MFA Comics - Be sure to check the appropriate box to ensure all fields calculate correctly.

Fees

Units - Enter the number of units you are taking. The default amount is 15 units. If you are not taking 15 units, please key in the appropriate amount. Tuition - Please list tuition amounts per semester. For the Schedule of Tuition & Fees, please click on the link at the top of this form. Registration Fee - This is a non-refundable fee that applies to all students upon registration. Adobe Cloud Fee - This fee applies to all students, part-time and full-time. Insurance Fee - This fee may be waived by completing an Online Insurance Waiver* by September 12th for the Fall term or January 23rd for the Spring term. Please refer to our Online Waiver FAQ for more information regarding waiving the CCA health insurance. If you have completed an online waiver and it was approved, check the Waive Insurance Fee checkbox. [Note: Checking the waive insurance fee box is for calculation purposes ONLY; this will not waive you out of the CCA Health Insurance.] - Note that insurance fees apply only to full-time students taking 12 or more units OR graduate students taking 9 or more units. Activities Fee

- This fee applies only to full-time students taking 12 or more units OR graduate students taking 9 or more units.

Materials Fee - Please refer to the Schedule of Tuition & Fees for a list of all classes with materials fees. If you are unsure if you will be charged any materials fee, you can leave this blank and pay this later. Housing - Use the drop-down box on the billing worksheet or go to cca.edu/students/ housing/halls for housing rates. Please refer to the e-mail you’ve received from the Res. Life Office regarding your room assignment. Housing assignments can be viewed by logging in to your WebAdvisor account (see link above). - If you are only applying for Spring housing enter the Spring Only rate amount for your housing assignment found online at cca.edu/students/housing/halls.

Housing Application Fee & - $400. This includes a $100 non-refundable application fee and $300 refundable Damage Deposit cleaning/damage deposit. Freshman A2 Café Card - CCA provides all first-year community residents residing in Clifton Hall, Irwin Hall and Avenue Apartments with a preloaded meal card valued at $250 to be used at our on-campus A2 Cafes. All first-year residents will be issued and billed for their meal cards during fall residence hall move-in. - The A2 Cafes are conveniently located on both our Oakland and San Francisco campuses offering affordable food options. Students may reload the card with additional funds directly through A2 Café. [NOTE: The A2 meal cards are non-refundable and non-replaceable. So if they are lost or stolen, they will not be replaced.] - To see the A2 Café menu, click here: A2 Café website: http://dada.cca.edu/~jchang3/final_a2cafe/about.html Subtract Payments Made - Enter the total amount of any payments/deposits that have previously been made. Total Fees - Enter the total of all fees in this section. Financial Aid

Scholarships - List all CCA or other institutional scholarships here. Scholarships from institutions outside of CCA may only be listed upon providing written proof from the granting institution to the Student Accounts Office. Grants - List all grants including SEOG, Cal Grants, and Pell Grants. Direct, Subsidized, Unsubsidized, PLUS, and Perkins Loans

- Enter amounts for all loans that are being accepted. Deduct origination fee(s) if applicable. Checking the origination fee checkboxes deducts the specified percentage from the amount originally entered in the applicable field(s). This fee may apply only to Direct Subsidized, Direct Unsubsidized, and/or Direct PLUS Loans. - PLUS Loans - Please enter only the amount for which you have already been approved. - Perkins Loan - The Master Promissory Note for this loan must be signed in the Student Accounts office.

Other Aid - Other aid may include outside student loans from alternative lenders. In order to include alternative loan amounts on the billing worksheet, students must also submit documentation of finalized approval amounts from lenders. Preapproval notices are not acceptable. Total Aid

- Enter the total amount of all scholarships, grants, loans and other aid.

Payment Due & Refund - Subtract Total Aid from Total Fees. Due - If fees exceed financial aid, enter the resulting amount in Payment Due. This is the amount you owe. - If financial aid exceeds fees, enter the resulting amount in Refund Due. This is the amount to be refunded to you. Students have the option of having refunds deposited into their bank accounts electronically. No more paper checks! To sign up, log on to WebAdvisor and click the ‘Enter/Change Bank Information (US) for Electronic Payments & Refunds’ link under the Student Accounts (if you’re a student) or Financial Information sections. Before ACH payments can be credited to your account, CCA must verify that your bank information is valid. This process is called pre-noting and can take up to 3 weeks to complete after you have registered. Direct Deposit will commence the week after pre-noting has been completed.

Payment Plans *

Pay In Full - The Payment Due amount is due August 1st for Fall and December 1st for Spring, or upon registration if enrolling after these dates. Half & Half - Fall - Due July 1st and September 1st - Spring - Due December 1st and February 1st Nine Month

- Fall - The Payment Due amount is divided into 4 equal monthly payments, August through November. - Spring - The Payment Due amount is divided into 5 equal monthly payments, December through April.

Ten Month - Fall - The Payment Due amount is divided into 5 equal monthly payments, July through November. - Spring - The Payment Due amount is divided into 5 equal monthly payments, December through April. * Methods of payment include credit card (Visa, MasterCard, American Express and Discover), cash, check, or wire transfer. Please include students name and ID# on all payments. * A first installment late fee of $150 will be charged for any first payment that is not made by the dates August 1 for Fall and December 1 for Spring. A monthly $50 charge is applied to subsequent late payments or unpaid balances, or both. Students who have unpaid balances due to unsecured financial aid also incur a monthly $50 late fee. Student The Student is required to sign and date this portion of the worksheet. We DO NOT accept e-signatures. Signature

You only need to return page 4 which is the Student Accounts Billing Worksheet. There is no need to submit the billing worksheet instructions to us. Please return complete worksheet to the Oakland or San Francisco campus’ Student Accounts Office or scan and e-mail the form to [email protected]. CCA Student Accounts 5212 Broadway Oakland, CA 94618 Fax (510) 594-1941

CCA Student Accounts 1111 Eighth Street San Francisco, CA 94107 Fax (415) 551-9261

IMPORTANT: Please do not enter a dollar sign and a comma when typing in amounts.

STUDENT ACCOUNTS BILLING WORKSHEET

Reset Form

By signing this worksheet below, you agree to satisfy the obligations pertaining to students as they are stated in CCA’s Student Handbook, in its Student Catalog and on the College’s Website (and as revised from time to time by the College and as interpreted by the College officers) and to pay amounts due, stated here and in any later billing worksheets and/or statements. Information regarding tuition and fees is available online at www.cca.edu/students/handbook/tuition_fees. ** Please refer to the provided instructions for important information on how to effectively use this worksheet **

Student Info

*Please do not use your Social Security Number as your CCA ID

Name

CCA ID*

Undergraduate

Fees Please refer to the Tuition & Fees Schedule Check boxes to enable applicable semester(s) Units Please enter the number of units you will be or are registering for each applicable semester. Tuition

Graduate

Fall 2017

MFA Comics Spring 2018

Undergrad: 12-18 units – $23,388. Greater than 18 units – $23,388 + $1,949 per additional unit. Less than 12 units - $1,949 per unit Grad: MFA Comics – $1,314 per unit

Registration Fee

This fee is non-refundable.

Adobe Cloud Fee

This is a mandatory fee.

Insurance Fee

$115.00

$115.00

$55.00

$55.00

Fall - $1,370 Spring - $1,874

Waive Insurance Fee Student Activities Fee Materials Fee

All Other Programs – $1,641 per unit

Can only be waived if an online waiver is completed and approved by 9/12/17 (Fall), or 1/23/18 (Spring)

Please see instructions regarding this fee.

Please refer to the Tuition & Fees Schedule

On-Campus Housing Specify Housing: Freshman A2 Cafe Card

$250 required fee applicable to Freshman students only who are in on campus housing for the full year.

Housing Application Fee ($100) + Damage Deposit ($300)

Apply $400 to applicable semester only. For full year, apply to Fall only.

Subtract: Deposits Made Total Fees Fall 2017

Financial Aid Please copy amounts listed on your Financial Aid Award Letter CCA Scholarship

Spring 2018

Scholarship please specify: Scholarship please specify: SEOG Grant Cal Grant Pell Grant Direct Subsidized Loan

Deduct 1.066% origination fee for this loan

Direct Unsubsidized Loan

Deduct 1.066% origination fee for this loan

Direct PLUS Loan - See Directions

Deduct 4.264% origination fee for this loan

Perkins Loan

No origination fee for this loan

Other Aid DO NOT INCLUDE WORKSTUDY Total Financial Aid Payment Due Total Fees exceeds Total Financial Aid (Choose Payment Plan) Refund Due Total Financial Aid exceeds Total Fees (No Payment Plan) Payment Plans

Select One Payment in Full

Fall 2017 Due August 1st

Select One

Spring 2018 Due December 1st

Half & Half Plan Divide Payment Due by 2

Due July 1st & Sep. 1st

Due Dec. 1st & Feb. 1st

Nine Month Plan Divide Payment Due by 4 in Fall, 5 in Spring

Due 1st of Month, Aug - Nov

Ten Month Plan Divide Payment Due by 5 in Fall, 5 in Spring

Due 1st of Month, Jul - Nov

Due 1st of Month, Dec - Apr orMonth, Ten Month Due(Nine 1st of DecPlans) - Apr

• I assume and agree to satisfy all of my financial obligations of these educational benefits as a student at CCA. • I understand that it is my responsibility to update my address information. Failure to receive a reminder bill does not relieve you of the responsibility to make a payment. • Failure to pay by the due date will result in a $150 first installment late fee then a $50 monthly late fee assessed to your account. Also, further delinquency may result in your account referred to an outside collection agency. Please note that you will be liable for all costs and legal fees incurred in the collection process. • I hereby authorize CCA and/or its agents, including collections agencies, to contact me in an effort to collect outstanding debt, by use of pre-recorded messages, voice messages and other calls and to record calls, and by using all forms of telecommunications, including cellular phone, and/or all forms or electronic technology. Please print, sign and return this worksheet to the Student Accounts Office. Please retain a copy for your records. Student Signature We do not accept digital signatures. You can scan and email the completed form to [email protected].