COSTS WORKSHEET
Include more than one
person on your Study Away Form and on this worksheet only if all charges are to
be billed to the same NSU financial account. If you do not already have an NSU account, one will
be established for you when you submit your Study Away Form. Please send your Study Away Form and this document
(COSTS WORKSHEET and PAYMENT SCHEDULE) by
e-mail attachment or in hard copy to Dr. John Mercer, at mercer@nsuok.edu or Building G, Room 280,
NSU-BA, 3100 E.
Full name of NSU account holder: ___________________________________________
Last 4 digits of account holder’s SSN: ___________
Name of additional person on same account: ___________________________________
Please check each
statement below that fits your plans for the trip. You may change any of your choices later as
long as you let me know in time.
Base price of trip per person (NOT including tuition and fees for the
course, which are paid separately): $1180
Air transportation
____ I/we plan to
fly roundtrip between
____ I/we plan to
arrange my/our own transportation to
Ground transportation
____ I/we plan to ride in one of the six-passenger vans provided for
ground transportation in
____ I/we plan to rent a car and provide all my/our own ground
transportation in
Housing
For
those traveling alone (only one name at top of this page):
____ I would like to stay in a room with an assigned roommate (double occupancy). If possible, I would like to room with _________________________________ in
____ a dorm room with
bath down the hall. Included in base price.
____ a hotel-style room
with private bath. Add $175 per person to base price.
____ I would like to stay by myself (single occupancy) in
____ a dorm room with
bath down the hall. Add $140 to base price.
____ a hotel-style room
with private bath. Add a whopping $448 to base price.
For
those traveling with another person (two names at top of this page):
____ We would like to stay in a dorm room (double occupancy) with bath down the hall. Included in base price.
____ We would like to stay in a hotel-style room
with private bath. Add $175 per person to base price.
Course Enrollment
Except in special
cases, students are expected to enroll in “Study Away: Shakespeare” during the
Summer Intersession for three (3) hours of undergraduate or graduate credit. You
will enroll and pay for this course in the same way you would for any other
class. Tuition and fees are in addition to the cost of the trip and are not
included in the calculations in this document.
____ I/we plan to enroll in the course for undergraduate English credit.
____ I/we plan to enroll in the course for undergraduate Humanities credit.
____ I/we plan to enroll in the course for undergraduate Theatre credit.
____ I/we plan to enroll in the course for graduate English credit.
____ I/we do NOT plan to enroll in the course for credit.
Student Discount for Early Signup
The first ten (10) students who sign up, pay the $180 deposit, and
agree to take the course for credit
will receive a discount of $120 off the price of the trip.
_____ I/we will take the course for credit and Dr. Mercer has told me/us
that I/we definitely am/are among the first ten (10) students to sign up and
pay the $180 deposit. Subtract $120 per person from base price.
_____ I/we will take the course
for credit but do not know if I/we am/are among the first ten (10) students to
sign up and pay the deposit. If you qualify for the discount, Dr. Mercer
will subtract $120 from the base price and notify you.
_____ I/we will not be receiving the $120 discount.
Scholarships
If you are the recipient of the
Calculation of Your Total Cost
This does NOT include tuition and fees for the course, which are billed
separately from the trip.
Base price of trip per person: $ 1180__
Amount to be subtracted from base price per person: $_______
Amount to be added to base price
per person: $_______
Total amount to be added or
subtracted (circle 1) to base price
per person: $_______
Your total price per person: $_______
Number of persons in your party: Circle 1 or 2
Subtotal to be charged to your account:
$
______
Add $27 if you will park your
own vehicle at Southern Oregon University $
______
Total cost to be charged to your
account: $_______
Dr. Mercer will send a copy of this page to the NSU Business Affairs
Office so that charges can be posted to your account.
PAYMENT SCHEDULE
Full name of NSU account holder: ___________________________________________
Last 4 digits of account holder’s SSN: ___________
Name of additional person on same account: ___________________________________
Copy this amount from the previous page
Total amount to be charged to
this account: $__________
Please circle below the number of the payment schedule that applies to
you:
1. Standard payment schedule if
your total cost is $1180, the same as the base price of the trip (double these
amounts if two people are being charged on one account);
Deposit due 1 week after you
submit Study Away Form (refundable if you cancel by March 24, 2010): $180
Payment due by March 24, 2010
(nonrefundable unless another person takes your place): $450
Payment due by April 24, 2010 (nonrefundable): $550
2. Payment
schedule if your total cost is less than $1180 (double these amounts if two
people are being charged on one account):
Deposit due 1 week after you
submit Study Away Form (refundable if you cancel by March 24, 2010): $180
Payment due by March 24, 2010 (nonrefundable
unless another person takes your place):
$450
Payment due by April 24, 2010 (nonrefundable): total amount remaining = $_____
3. Payment
schedule if your total cost is more than $1180 (double these amounts if two
people are being charged on one account):
Deposit due 1 week after you
submit Study Away Form (refundable if you cancel by March 24, 2010): $180
Payment due by March 24, 2010
(nonrefundable unless another person takes your place): $450
Payment due by April 24, 2010 (nonrefundable): $550
Payment due by May 14, 2010 (nonrefundable): total amount remaining = $____
If you need a different payment schedule, or if you later need to revise
your payment schedule, please talk with Dr. Mercer. The total cost of your trip, however, must be
paid no later than May 14, 2010.