Student Donation - Opt-Out Request Full-time students who choose to opt out will receive a credit to their tuition account. Requests for the credit to your account must be completed and submitted by September 30, 2014. If you have a tuition balance owing the opt-out will be applied to the balance owing. If you have a credit balance in your tuition account, a refund cheque will be available for pick up at the beginning of November 2014. An email will be sent to students early November providing pick up instructions. Cheques not picked up will be mailed to the address on file with the Office of the Registrar. Visit www.registrar.uwo.ca to update your address. You must be registered as a full-time student in one of the following Faculties/Schools to be eligible for the credit. Part-time students, students at Affiliated Colleges and graduate students (other than Kinesiology) have not contributed and are therefore not eligible. Engineering and Social Science students are required to submit their request via their faculty’s web page. Please check faculty/program of study for 20142015. Arts _____ FIMS – MIT/MTP _____ Science _____ Kinesiology _____ Music _____ Nursing _____ Dentistry _____ Health Sciences _____ Education _____ Student Information (please print legibly) Student Number First Name Middle Initial Last Name Student Signature: Dean’s Office use only Date Drop off points will be posted at each of the Faculties/Schools.