Pathways – Application Fee - Southeastern University

Pay Your Application Fee

After you complete your application, please complete the form below to pay your application fee ($125). Your application cannot be processed until this fee is paid.

"*" indicates required fields

Tuition and Fee Information

Student's Name*

First Middle Last

Name of person responsible for paying tuition and fees*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Approval (to be completed by parent/guardian)

How are you related to the applicant?*

Parent/guardian name*

First Last

Parent/guardian email*

Parent/guardian phone*

Signature of parent/guardian who reviewed this form*

By checking this box, I confirm that I am the parent/guardian of the applicant, and that I have reviewed the application completely. I confirm that the information provided is accurate and complete to the best of my knowledge.

Application Fee (to be completed by parent/guardian)

What form of payment would you like to use to pay the application fee ($125)?*

Credit Card Information (to be completed by parent/guardian)

Credit Card

Card Details

Cardholder Name

Pathways Application Fee*

Price:

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Comments

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Pay Your Application Fee

Tuition and Fee Information

Parent/Guardian Approval (to be completed by parent/guardian)

Application Fee (to be completed by parent/guardian)

Credit Card Information (to be completed by parent/guardian)