Bursar's Office: Graduate Health & Wellness Fee

Add Health Fee to Student Account

I authorize the Bursar’s Office to add the current rate Health and Wellness fee to my student account. I understand that I am responsible for this fee and will make payment to my account. In the event that I chose to use Federal Financial Aid, I agree to the terms and conditions below..

Name *

Student ID *

Semester *

Fall

Spring

AUTHORIZATION: UNDER FEDERAL LAW, WPI MUST RECEIVE YOUR AUTHORIZATION TO COVER NON-INSTITUTIONAL CHARGES WITH FEDERAL FINANCIAL AID FUNDS.

THESE CHARGES MAY INCLUDE, BUT ARE NOT LIMITED TO: BOOKSTORE CREDITS, GOAT BUCKS, HEALTH INSURANCE, LATE PAYMENT, LATE REGISTRATION FEES AND/OR OTHER MISCELLANEOUS FEES.

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I "AUTHORIZE" WPI TO COVER ALL CHARGES INCLUDING, BUT NOT LIMITED TO ANY NON-INSTITUTIONAL CHARGES ON MY STUDENT ACCOUNT.

Currently, what country are you physically present in? *

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