Intent to Enroll

"*" indicates required fields

Please confirm your enrollment at Beacon College or in one of our programs through the form below. Your deposit information will populate based on your selections. Please be sure to select the correct program that you have been accepted into and wish to enroll.

If you are enrolling in more than one program, or enrolling in both a college readiness program and a degree program at Beacon College, you will need to complete this form separately for each.

Please be aware that our college readiness programs fill up quickly; we can only guarantee you a space if you complete the Intent to Enroll within two weeks of your acceptance. If you are completing this form later than two weeks after acceptance, please allow us to confirm that you have secured a spot in the program.

Please select the program you have been accepted to:*

Bachelor's or Associate Degree

Navigator PREP

Summer for Success

Foundations

Student's Full Name*

Student's Date of Birth*

Intent To Enroll*

Yes, I plan to enroll at Beacon College.

I do not plan to enroll at Beacon College.

When will you enroll?*

Spring 2023

Fall 2023

Name of College You Will Be Attending

If you are not enrolling in Beacon College, enter name of college you will be attending.

My plan for on-campus enrollment is:*

Fall/August 2023

Spring/January 2024

I am a visiting college student and do not plan to enroll at Beacon College after my online semester

I have not yet made long-term enrollment decisions

Which Navigator PREP Program are you enrolling in?*

Junior Year

Senior Year

College Coaching

Which Navigator PREP Jr. track?*

6-Month ($2,000 total)

3-Month ($1,500 total)

Which Navigator PREP Senior track?*

9-Month ($4,000 total)

6-Month ($3,000 total)

3-Month ($2,000 total)

Which Navigator PREP College Coaching track?*

Spring 2023 Weekly & Travel Program ($3,000 total)

Spring 2023 Weekly Program ($2,000 total)

Spring 2023 Bi-Weekly Program ($1,250 total)

Which Summer for Success track are you enrolling in?

Exploration Track ($5,450 total)

Imagination Track ($6,500 total)

Illumination Track($7,500 total)

Financially Responsible Party

Please complete this section with name and information of person responsible for tuition and fees payments.

Financially Responsible Party*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Email*

Alternate Email

Primary Phone*

Alternate Phone

Agreement & Conditions

Please review the following terms and mark that you agree and understand.

Date*

Program Selection & Deposit

Enrollment Non-Refundable Deposit

Price:

Foundations Enrollment Non-Refundable Deposit

Price:

Navigator PREP Jr. 6mo Non-Refundable Deposit

Price:

Navigator PREP Jr. 3mo Non-Refundable Deposit

Price:

Navigator PREP Sr. 9mo Non-Refundable Deposit

Price:

Navigator PREP Sr. 6mo Non-Refundable Deposit

Price:

Navigator PREP Sr. 3mo Non-Refundable Deposit

Price:

College Coaching Weekly + Travel Non-Refundable Deposit

Price:

College Coaching Weekly Non-Refundable Deposit

Price:

College Coaching Bi-Weekly Non-Refundable Deposit

Price:

Exploration Non-Refundable Deposit

Price:

Imagination Non-Refundable Deposit

Price:

Illumination Non-Refundable Deposit

Price:

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email for Payment Receipt*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Intent to Enroll

Intent To Enroll

Financially Responsible Party

Agreement & Conditions

Program Selection & Deposit

Next Steps

Campus Portals

About Beacon College