Dual Credit Request for Installment Plan

This form is to be used by Dual Credit Students only.

This form should be filled out by a parent/guardian of the dual credit student.

Please visit our dual credit payment guide website for more information about your bill prior to submitting this request. After submitting this form, please allow up to two business days for the payment plan to show on your billing statement. This form must be completed each semester that you are taking dual credit classes to be placed on an installment plan.

A $30 non-refundable fee for Fall and Spring or a $20 non-refundable fee for Summer I and Summer II will be assessed when the installment plan is selected; however, the full amount due plus all the applicable fees may be paid in full at any time. Before signing up for the installment plan, view your bill and determine if you would like to pay in-full instead.

Installments made after 5 p.m. CST on the due date will be assessed a late fee of $40 for each late payment.

All fields marked with an asterisk (*) are required.

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Student’s First Name*

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Student’s Last Name*

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ASU Campus ID (CID) Number*

The student’s CID will start with the number 8. If you do not know this number, please contact your high school counselor.

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High School*

If your school is not listed, please call the Dual Credit Office at 325-486-6803.

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Semester*

Please select the term for which you are requesting the installment plan.

Spring 2024

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Email*

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Permanent Address*

Please include Street, City, State and Zip

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Permanent Phone*

Please include area code

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Cell Phone*

Please include area code

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By submitting this form I understand that*

As the parent/guardian of a minor child (under the age of 18), I am requesting that Angelo State University place my child’s tuition and fee bill on the installment plan for the above mentioned term.

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I understand that*

A non-refundable fee of $30.00 for enrolling in the installment plan will be added to my child’s bill.

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I understand that*

Payments not received by 5:00 pm of the published due dates are subject to a late fee of $40.00. I am fully aware of the published due dates for the installment plan.

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Please provide first and last name of parent/guardian completing this form.*

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I confirm that*

If you plan on paying the bill in-full, DO NOT submit this form. Submitting this form will add a non-refundable installment plan fee to the student’s bill.

I have VIEWED the balance on the student’s account and confirm that I would like to sign up for the installment plan. I will NOT pay the bill in-full.

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