SOP Seat Deposit for Class of 2022 – Early Registration

This form is intended for those that would like to pay the $200 deposit before the March 1st, 2019 due date. If you would like to pay the full amount of $750 before that date, or if you are submitting a registration form after March 1st, 2019, please go to the link Here.
Decision on Offer of Admission PharmD
Please check one of the following boxes to indicate your decision to accept or decline the South College School of Pharmacy Offer of Admission in the Pharm.D. Class of 2022 no later than 14 days from the receipt of offer.
If not accepting offer of Admission, please describe the reason for your decision:
By accepting the Offer of Admission I understand and agree that if I do not complete all admissions and matriculation requirements prior to June 3, 2019, this Offer of Admission may be withdrawn. I have read, understand, and agree to the School of Pharmacy Matriculation Policies and Requirements. Click here to view the "Matriculation Policies and Requirements.pdf"

For Seat Deposits Prior to March 1, 2019: I am submitting payment in the amount of two hundred dollars ($200.00). This deposit is to hold a place in the Pharm.D. Class of 2022 for me and will be applied directly to my tuition and fees when I matriculate. Deposit is non refundable.

I further understand that due on March 2, 2019 I must pay an additional deposit of $550.00 to continue to hold a place in the Pharm.D. Class of 2022. The additional $550.00 will be applied directly to my tuition and fees when I matriculate. The second deposit is also non refundable. A reminder email will be sent to all candidates holding a seat in February, 2019, with a link to complete the remaining payment as necessary.

For Seat Deposits Following March 1, 2019: I must pay the full seven hundred fifty dollars ($750.00) deposit with my initial payment to hold a place in the Pharm.D. Class of 2022. The full $750.00 will be applied directly to my tuition and fees when I matriculate. The entire deposit is non refundable.

I understand and agree that this deposit will be forfeited if I (1) fail to register, (2) later renege on my acceptance of the Offer of Admission, or (3) fail to provide a clean background check and drug screen prior to matriculation. (4) do not complete all admissions and matriculation requirements.*
Last Name (required):*
First Name (required):*
Middle Name:
Maiden Name:
Marital Status:
Date of Birth:*
Social Security Number:*
PharmCAS Application Number:*
Please list the telephone number at which you can be reached between 8:00am and 5:00pm EST (required):*
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Home Telephone:
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Cell Telephone:
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E-mail (required):*
Address (required):*
*By entering your full name, the last four digits of your social security number, and submitting the document, you electronically agree and confirm your understanding of the items, as outlined, in the above document as well as authorize the payment of the admission fee to South College.
*As acceptance of this registration, please type your full name below.
Applicant Signature:*
*Please enter the last four digits of your social security number.
Last Four of Social:*
Word Verification: