NYCIntern Refund Request

Note: Application Fees are not refundable

Name*

First Name

Last Name

Housing Location*

Apartment Number*

Reason for Requested Refund*

In concise yet detailed terms, please describe your situation.

Amount Requested* $

Please note that your request is NOT guaranteed and will be reviewed by the appropriate College staff. You will be notified as soon as a decision is made.

Signature*

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Please note that your request is under review and will be either approved, adjusted, or denied. While you are awaiting our response, please take this time to review the NYCIntern Handbook and Contract to ensure that your request is within the agreed-upon terms. You can find these documents on our resources pages under Resources for Residents. Thank you for your patience and understanding throughout this process. We will get back to you as soon as we can!

NYCIntern Approval

Approved/Denied*

Approved as Requested Approved as Amended Denied

Amendment

Reason for Denial

Reason for Amendment

Signature*

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