Application Fee Cover Sheet
BOSTON COLLEGE
William F. Connell School of Nursing
Graduate Programs Office – Maloney Hall, 2nd Floor
140 Commonwealth Avenue
Chestnut Hill, MA 02467
(617)552-4928
TO BE COMPLETED BY APPLICANT:
Please submit this form with a non-refundable $40 check or money order made payable to “Boston College”. This application
fee can also be paid online at the time you submit your online application form. Please do not pay this fee again if you have
paid online.
Mail completed form to the above address. Please note that this address is different than the processing company address
where other application/supplemental materials are sent.
Please complete the information below so that we may apply this payment to your online application:
First Name: ____________________________ Last Name: _________________________________
Date of Birth: _________________________
Email where you may be reached if necessary: __________________________