Deferred Payment Form

Deferred payment requests are limited to:

  • Extended Learning / Continuing Education
  • KTA Program
  • MSN Cohort Program Students

Holy Family University offers students enrolled in the Extended Learning/KTA/MSN Cohort Program the opportunity to defer tuition payment.

This opportunity is offered only to students in the above programs who receive tuition reimbursement from their employers.

I understand that payment is due in full 30 days from the session end date and that I am responsible for submitting all necessary documentation to my employer. I am also responsible for all charges, whether or not paid by my employer.

Student Information:


Employer Information:

Employer Address:
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