Semester Response Form

If you see this don't fill out this input box.

Name of Parent/Agency/Sponsor

Please provide the address, city, state, zip code, and phone number of the authorized parent/agency/sponsor below:

Address

City

State

Zip Code

Phone Number

*Please choose one of the following:

Non-mandatory charges such as my bookstore charges, MassPIRG contribution, and any other optional charge on my semester bill.I do not authorize my financial aid to pay for non-mandatory charges such as bookstore charges, MassPIRG contribution, etc. I will pay out-of-pocket for optional charges on my semester bill.I do not receive financial aid.

Notice:

To cancel authorization at any time, contact Student Financial Services in writing.
You are responsible to pay any balance due on your account that is not covered by financial aid, or that is the result of a change in your enrollment or eligibility for aid.
To accept a student loan offer, please visit the MyBCC Portal and log in with your MyBCC account info (this is your s# with a lower case "s" - if you have trouble with this, please call the Digital Commons 413-236-2165). Once logged-in, find the "Financial Aid" tile and click on "My Awards." To request a new loan please select “Financial Information” on the left side of the screen and then “Request a New Loan”. Any questions please contact our Loan Coordinator at 413-236-1642.

*Please determine whether you accept or waive your Student Health Insurance charge.

I will waive the $2,574.00 Student Health Insurance charge on my account using the Waive Student Health Insurance link on my WebAdvisor account.**I wish to accept the $2,574.00 Student Health Insurance charge on my account; and I understand that enrollment in this health plan is contingent on payment in full.**I do not have a Student Health Insurance charge on my account.

**Notice:
You will need to waive/accept your Student Health Insurance charge by creating an account and logging into Gallagher Student

*Please determine whether you accept or waive your $9.00 MassPIRG contribution.

I accept the $9.00 MassPIRG charge on my account.I wish to waive the $9.00 MassPIRG charge on my account.

*Student Name

*Student ID

Your printed first and last name and Student ID will serve as your electronic signature for the purposes of the releases above.

*Your Email

Contact Us

Student Financial Services
Email: studentbilling@berkshirecc.edu
Phone: 413-236-3043

Contact Us

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