Close

-- Testing -- Testing -- Testing -- Testing -- Testing -- Testing -- Testing --
This form is only valid for testing purposes. Form action will not work for a live form.

Form is Secure

COURSE PRICING REQUEST

ALL required sections of this form MUST be completed in order for your request to be processed. Please contact Ricardo Moran at (305) 284-6797 or via e-mail at pricing.osas@miami.edu should you have any questions.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

Required questions are marked with an (*).
* Specifiy the 3 character course prefix here: Help (You must type in a response)
  (ex. CIS)
 
 
* Specify the 3 character course number here: (You must type in a response)
  (ex. 123)
 
 
* Specify the 2 character course section here: (You must type in a response)
  (ex. UX or 03)
 
 
* Type in the 5-digit tuition activity code tuition for this course: Help (You must type in a response)
  Once you obtain the activity code, please make a note of it for future reference.
 
 
* What groups does the activity code specified above apply to: (You must select at least one)
 
Undergraduate
Graduate
Both
 
If the activity code is different for each group, type in the second 5-digit tuition activity code tuition for this course: (Type in a response)
  *Only type in if code is different from above.
 
 
What groups does the activity code specified above apply to: (Select at least one)
 
Graduate
Undergraduate
 
Check this box if course should be priced at $0. (Select at least one)
 
Price Course At $0
 
* Select the term for your course pricing request: Help (Select only one)
  (ex. 2004/2)
 
 
* Specify whether course should be priced per credit or at a flat rate: (You must select one)
  Example: $1000 PER CREDIT or $1000 FLAT for the course.
 
Per Credit Pricing
Flat Rate Pricing
 
Amount (Type in a response)
  Please enter course pricing dollar amount
 
 
COMMENTS Help (Type in a response)
 
 
* AUTHORIZATION REQUIRED ------------Please provide your department name: (You must type in a response)
 
 
* Department Head Name Help (You must type in a response)
 
 
* Department Head Phone Number (You must type in a response)
  (ex. 305-284-1234)
 
 
Department Head E-mail Address (Type in a response)
  (ex. csmith@miami.edu)
 
 
* Please provide your name: (You must type in a response)
 
 
* Please provide your phone number: (You must type in a response)
  (ex. 305-284-1234)
 
 
* Please provide your Email Address: (You must enter a valid email address)
  A confirmation email will be sent to this address.
 
 
Additional Documentation (Select a file to attach)
  Attach additional documents that need to be review to fulfill this request
 
 
********Please review ALL sections before submitting your request.********