{"id":3191,"date":"2025-08-25T14:17:40","date_gmt":"2025-08-25T18:17:40","guid":{"rendered":"https:\/\/www.bu.edu\/studentfinancials\/?page_id=3191"},"modified":"2026-02-06T16:22:23","modified_gmt":"2026-02-06T21:22:23","slug":"student-refund-request-form","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/studentfinancials\/student-refund-request-form\/","title":{"rendered":"Student Refund Request Form"},"content":{"rendered":"<p><em>If you are a student enrolled in the School of Medicine, School of Public Health, or Graduate Medical Sciences, please follow the procedures outlined <a href=\"https:\/\/www.bumc.bu.edu\/osfs\/camed-bu-loan-advance-form\/\" target=\"_blank\" rel=\"noopener\">here<\/a>. If you are a student in the School of Dental Medicine, please follow the procedures outlined <a href=\"https:\/\/www.bumc.bu.edu\/osfs\/gsdm-living-expense-request\/\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/em><\/p>\n<p>If you are a financial aid recipient, refunds may not be released until the start of the term in which the financial aid was awarded.<\/p>\n<p>Your student account is subject to change. If, for any reason, your student account charges or financial aid change and you are no longer eligible for a refund, you will be responsible for repaying any resulting balance to BU.<\/p>\n<p>You must create a Nelnet Student Choice Refund profile to receive an electronic refund.\u00a0 When a refund is a result from overpayment from Card and\/or International payment methods, the refund will be processed back to the original payment method.<\/p>\n<p>For more information about refund requests, click <a href=\"\/studentfinancials\/resources\/refunds\/\">here<\/a>.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/studentfinancials\/wp-json\/wp\/v2\/pages\/3191' data-formid='7' >\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_16\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_7_16\"><em>If you are a student enrolled in the School of Medicine, School of Public Health, or Graduate Medical Sciences, please follow the procedures outlined <a href=\"https:\/\/www.bumc.bu.edu\/osfs\/camed-bu-loan-advance-form\/\" target=\"_blank\">here<\/a>.  If you are a student in the School of Dental Medicine, please follow the procedures outlined <a href=\"https:\/\/www.bumc.bu.edu\/osfs\/gsdm-living-expense-request\/\" target=\"_blank\">here<\/a>.<\/em>\n<br>\n<br>\nIf you are a financial aid recipient, refunds may not be released until the start of the term in which the financial aid was awarded.  \n<br>\n<br>\nYour student account is subject to change. If, for any reason, your student account charges or financial aid change and you are no longer eligible for a refund, you will be responsible for repaying any resulting balance to BU.\n<br>\n<br>\nYou must create a Nelnet Student Choice Refund profile to receive a refund.\n<br>\n<br>\nFor more information about refund requests, please visit the <a href=\"https:\/\/www.bu.edu\/studentaccountingservices\/resources\/refunds\/\" target=\"_blank\">Student Accounting Services' website<\/a>.\n<\/div><fieldset id=\"field_7_1\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_1\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'>\n                            \n                            <span id='input_7_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_7_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_7_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_3\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_3\"><label class='gfield_label gform-field-label' for='input_7_3' >BU ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_7_3' type='text' value='' class='large' maxlength='9' aria-describedby=\"gfield_description_7_3\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_7_3'>Ex: U12345678<\/div><\/div><fieldset id=\"field_7_4\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_4\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >BU Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_7_4_container'>\n                                <span id='input_7_4_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_4' id='input_7_4' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_7_4' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_7_4_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_4_2' id='input_7_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_7_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_7_20\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_20\"><legend class='gfield_label gform-field-label'  >Student Type<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_20'>\n\t\t\t<div class='gchoice gchoice_7_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Undergraduate'  id='choice_7_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_0' id='label_7_20_0' class='gform-field-label gform-field-label--type-inline'>Undergraduate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Graduate'  id='choice_7_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_1' id='label_7_20_1' class='gform-field-label gform-field-label--type-inline'>Graduate<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_5\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_5\"><legend class='gfield_label gform-field-label'  >School\/College<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_5'>\n\t\t\t<div class='gchoice gchoice_7_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='College of Communication'  id='choice_7_5_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_5\"   \/>\n\t\t\t\t\t<label for='choice_7_5_0' id='label_7_5_0' class='gform-field-label gform-field-label--type-inline'>College of Communication<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='College of Engineering'  id='choice_7_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_1' id='label_7_5_1' class='gform-field-label gform-field-label--type-inline'>College of Engineering<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='College of Fine Arts'  id='choice_7_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_2' id='label_7_5_2' class='gform-field-label gform-field-label--type-inline'>College of Fine Arts<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Faculty of Computing and Data Science'  id='choice_7_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_3' id='label_7_5_3' class='gform-field-label gform-field-label--type-inline'>Faculty of Computing and Data Science<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Frederick S. Pardee School of Global Studies'  id='choice_7_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_4' id='label_7_5_4' class='gform-field-label gform-field-label--type-inline'>Frederick S. Pardee School of Global Studies<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Graduate School of Arts &amp; Sciences'  id='choice_7_5_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_5' id='label_7_5_5' class='gform-field-label gform-field-label--type-inline'>Graduate School of Arts &amp; Sciences<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Metropolitan College'  id='choice_7_5_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_6' id='label_7_5_6' class='gform-field-label gform-field-label--type-inline'>Metropolitan College<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Questrom School of Business'  id='choice_7_5_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_7' id='label_7_5_7' class='gform-field-label gform-field-label--type-inline'>Questrom School of Business<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Sargent College of Health and Rehabilitation Sciences'  id='choice_7_5_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_8' id='label_7_5_8' class='gform-field-label gform-field-label--type-inline'>Sargent College of Health and Rehabilitation Sciences<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='School of Hospitality Administration'  id='choice_7_5_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_9' id='label_7_5_9' class='gform-field-label gform-field-label--type-inline'>School of Hospitality Administration<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='School of Law'  id='choice_7_5_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_10' id='label_7_5_10' class='gform-field-label gform-field-label--type-inline'>School of Law<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='School of Social Work'  id='choice_7_5_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_11' id='label_7_5_11' class='gform-field-label gform-field-label--type-inline'>School of Social Work<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='School of Theology'  id='choice_7_5_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_12' id='label_7_5_12' class='gform-field-label gform-field-label--type-inline'>School of Theology<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Wheelock College of Education and Human Development'  id='choice_7_5_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_13' id='label_7_5_13' class='gform-field-label gform-field-label--type-inline'>Wheelock College of Education and Human Development<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_5'>Indicate your school\/college for the upcoming 2025-2026 academic year.<\/div><\/fieldset><fieldset id=\"field_7_17\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_17\"><legend class='gfield_label gform-field-label'  >Please provide the refund amount you&#039;re requesting.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_17'>\n\t\t\t<div class='gchoice gchoice_7_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Full Refund'  id='choice_7_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_0' id='label_7_17_0' class='gform-field-label gform-field-label--type-inline'>Full Refund<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Other Refund Amount'  id='choice_7_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_1' id='label_7_17_1' class='gform-field-label gform-field-label--type-inline'>Other Refund Amount<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_6\"  class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_6\"><label class='gfield_label gform-field-label' for='input_7_6' >Provide your anticipated Refund Amount (if not the full amount):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_7_6' type='text'    value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_7_11\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_11\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Do you anticipate receiving financial aid that is not included on your current award?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_11'><div class='gchoice gchoice_7_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Private Loan'  id='choice_7_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_1' id='label_7_11_1' class='gform-field-label gform-field-label--type-inline'>Private Loan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Federal Loan (Plus or Federal Student Loan)'  id='choice_7_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_2' id='label_7_11_2' class='gform-field-label gform-field-label--type-inline'>Federal Loan (Plus or Federal Student Loan)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_11_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.3' type='checkbox'  value='Outside Scholarship'  id='choice_7_11_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_3' id='label_7_11_3' class='gform-field-label gform-field-label--type-inline'>Outside Scholarship<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_11_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.4' type='checkbox'  value='Veteran&#039;s Benefits'  id='choice_7_11_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_4' id='label_7_11_4' class='gform-field-label gform-field-label--type-inline'>Veteran's Benefits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_11_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.5' type='checkbox'  value='Americorps Award'  id='choice_7_11_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_5' id='label_7_11_5' class='gform-field-label gform-field-label--type-inline'>Americorps Award<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_11_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.6' type='checkbox'  value='Other'  id='choice_7_11_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_11_6' id='label_7_11_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_14\"  class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_14\"><label class='gfield_label gform-field-label' for='input_7_14' >Amount Anticipated?<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_7_14' type='text'    value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_7_19\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_19\"><legend class='gfield_label gform-field-label'  >Are you receiving an Athletic Scholarship?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_19'>\n\t\t\t<div class='gchoice gchoice_7_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_7_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_0' id='label_7_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_7_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_1' id='label_7_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_12\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_12\"><label class='gfield_label gform-field-label' for='input_7_12' >What is the name of the lender for your anticipated Private Loan?<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_7_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_13\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_13\"><label class='gfield_label gform-field-label' for='input_7_13' >What other additional financial aid are you anticipating?<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_7_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_7_7\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_7\"><legend class='gfield_label gform-field-label'  >Have you created a Nelnet Student Choice Refund Profile prior to completing this form?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_7'>\n\t\t\t<div class='gchoice gchoice_7_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_7_7_0' onchange='gformToggleRadioOther( 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Due', 'Nelnet Payment & Payment Plans'.\n<br>\n<br>\nIf you are unable to create a profile on Nelnet please contact Student Financials.  If you would prefer a check, please exit the form and contact Student Financials directly to submit your request.<\/div><\/fieldset><fieldset id=\"field_7_9\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_9\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_7_9_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_7_9_1' >I acknowledge that I have read and understand the process for requesting a refund as stated above.<\/label><input 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