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COVID-19 REIMBURSEMENT REQUEST
Disclaimer
:
Please completely fill out the following form if you are requesting COVID-19 reimbursement. Forms that are not complete will not be considered. We encourage parents to use your previous payment as a credit for our upcoming travel experience. Please note that at this time,
all students have a credit
for the amount paid that will apply to our upcoming HBCU Tour once the CDC gives the "OK" that is it safe to travel. Also, please note that
those who had not paid in full by the due date may be at risk of receiving no reimbursement or only partial reimbursement
. We will review requests on a case-by-case basis. Thank you and we look forward to offering the best and safest programming to engage all students! Please continue to follow the guidelines and advice of the experts and the CDC to remain safe!
*
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Name of Person who Made Payment
*
First
Last
Phone Number
*
Email
*
Name of Student
*
First
Last
Student's Grade
*
9th
10th
11th
12th
Other
Student's School
*
Please upload a screenshot from the payment(s) that were made:
Date of Payment
*
Date of Payment
*
Date of Payment
*
Date of Payment
*
Comment
*
Submit Claim
HOME
2023 HBCU TOUR Sign-Up
NC 2023 HBCU Tour
MI 2023 HBCU Tour
>
MI ROOMMATE REQUEST
MAKE A PAYMENT/DONATE
MEET BLAKE
College Tour History
Testimonials
Promo Video
CONTACT US
APPLY TO COLLEGE (COMMON APP)
#RockingForJustin Shoe Drive