{"id":5025,"date":"2025-09-10T15:28:42","date_gmt":"2025-09-10T15:28:42","guid":{"rendered":"https:\/\/www.gcc.mass.edu\/sfs\/?page_id=5025"},"modified":"2026-07-16T17:26:38","modified_gmt":"2026-07-16T17:26:38","slug":"worksheet","status":"publish","type":"page","link":"https:\/\/www.gcc.mass.edu\/sfs\/student-billing\/worksheet\/","title":{"rendered":"Billing Worksheet"},"content":{"rendered":"<p>If you owe a past due amount for a previous semester, you must contact Student Financial Services prior to enrolling in the payment plan.<\/p>\n<div class=\"boxed\">\n<p><strong>Do not enter $0.00 in any dollar amount field.<\/strong> If a field does not apply, please leave it blank.<\/p>\n<\/div>\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n\n\/\/----------------------------------------------------------\n\/\/------ JAVASCRIPT HOOK FUNCTIONS FOR GRAVITY FORMS -------\n\/\/----------------------------------------------------------\n\nif ( ! gform ) 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url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: 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action='\/sfs\/wp-json\/wp\/v2\/pages\/5025' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_2_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/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_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input readonly='readonly' type='text' name='input_1.3' id='input_2_1_3' value='' tabindex='1001'  aria-required='false'     \/>\n                                                    <label for='input_2_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input readonly='readonly' type='text' name='input_1.6' id='input_2_1_6' value='' tabindex='1003'  aria-required='false'     \/>\n                                                    <label for='input_2_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <input type=\"hidden\" id=\"gwro_hidden_capture_2_1_2\" name=\"gwro_hidden_capture_2_1_2\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_2_1_3\" name=\"gwro_hidden_capture_2_1_3\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_2_1_4\" name=\"gwro_hidden_capture_2_1_4\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_2_1_6\" name=\"gwro_hidden_capture_2_1_6\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_2_1_8\" name=\"gwro_hidden_capture_2_1_8\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/fieldset><div id=\"field_2_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_2'><span class='gform-field-label__text'>GCC student ID#<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_2' id='input_2_2' type='text' value='' class='large'   tabindex='1005'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_48\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_2_48'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_48' id='input_2_48' type='email' value='' class='medium' tabindex='1006'    aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_54\" class=\"gfield gfield--type-text gfield--input-type-text field_admin_only field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_administrative\"  ><input name='input_54' id='input_2_54' class='gform_hidden' type='hidden' value=''\/><\/div><div id=\"field_2_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Charges<\/h3><\/div><div id=\"field_2_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'><span class='gform-field-label__text'>The current term is<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_47' id='input_2_47' type='text' value='' class='medium'   tabindex='1007'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_4\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_4'><span class='gform-field-label__text'>Current Term Charges<\/span><\/label><div class='ginput_container ginput_container_number'><input readonly='readonly' name='input_4' id='input_2_4' type='text' step='any'   value='' class='medium' tabindex='1008'     aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Anticipated Credits<\/h3><\/div><fieldset id=\"field_2_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Insurance<\/span><\/legend><div class='gfield_description' id='gfield_description_2_42'>If you plan to waive your insurance charges your waiver form must be completed by the first day of classes for the current term<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_42'>\n\t\t\t<div class='gchoice gchoice_2_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='I plan to waive my insurance charges'  id='choice_2_42_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_42\" tabindex='1009'  \/>\n\t\t\t\t\t<label for='choice_2_42_0' id='label_2_42_0' class='gform-field-label gform-field-label--type-inline'>I plan to waive my insurance charges<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='I have already waived my insurance charges'  id='choice_2_42_1' onchange='gformToggleRadioOther( this )'  tabindex='1010'  \/>\n\t\t\t\t\t<label for='choice_2_42_1' id='label_2_42_1' class='gform-field-label gform-field-label--type-inline'>I have already waived my insurance charges<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='I am not being charged for insurance'  id='choice_2_42_2' onchange='gformToggleRadioOther( this )'  tabindex='1011'  \/>\n\t\t\t\t\t<label for='choice_2_42_2' id='label_2_42_2' class='gform-field-label gform-field-label--type-inline'>I am not being charged for insurance<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_15\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'><span class='gform-field-label__text'>Student Health Insurance<\/span><\/label><div class='ginput_container ginput_container_number'><input readonly='readonly' name='input_15' id='input_2_15' type='text' step='any'   value='' class='medium' tabindex='1012'     aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_5\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'><span class='gform-field-label__text'>Financial Aid<\/span><\/label><div class='gfield_description' id='gfield_description_2_5'>Enter amount of financial aid funds shown on your signed award letter<\/div><div class='ginput_container ginput_container_number'><input name='input_5' id='input_2_5' type='text' step='any'   value='' class='medium' tabindex='1013'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_5\" \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'><span class='gform-field-label__text'>Tuition Waivers<\/span><\/label><div class='gfield_description' id='gfield_description_2_6'>Enter total amount of any tuition and\/or fee waivers you expect to receive<\/div><div class='ginput_container ginput_container_number'><input name='input_6' id='input_2_6' type='text' step='any'   value='' class='medium' tabindex='1014'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_6\" \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'><span class='gform-field-label__text'>Private Scholarships<\/span><\/label><div class='gfield_description' id='gfield_description_2_7'>Enter total amount of any private scholarships awarded to you<\/div><div class='ginput_container ginput_container_number'><input name='input_7' id='input_2_7' type='text' step='any'   value='' class='medium' tabindex='1015'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_7\" \/><\/div><\/div><div id=\"field_2_8\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_8'><span class='gform-field-label__text'>In-House Grants<\/span><\/label><div class='gfield_description' id='gfield_description_2_8'>Enter total amount of any in-house grants awarded to you (do not include grants awarded by Student Financial Services)<\/div><div class='ginput_container ginput_container_number'><input name='input_8' id='input_2_8' type='text' step='any'   value='' class='medium' tabindex='1016'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_8\" \/><\/div><\/div><div id=\"field_2_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_41'><span class='gform-field-label__text'>Brief description of grant(s)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_2_41' type='text' value='' class='medium'   tabindex='1017'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_9\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_9'><span class='gform-field-label__text'>Third-Party Payments<\/span><\/label><div class='gfield_description' id='gfield_description_2_9'>Enter total amount to be paid by a third party<\/div><div class='ginput_container ginput_container_number'><input name='input_9' id='input_2_9' type='text' step='any'   value='' class='medium' tabindex='1018'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_9\" \/><\/div><\/div><div id=\"field_2_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Balance Due<\/h3><div class='gsection_description' id='gfield_description_2_32'>This is only an <strong>estimated balance<\/strong> as of today's date<\/div><\/div><div id=\"field_2_10\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_10'><span class='gform-field-label__text'>Amount Due<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_10' id='input_2_10' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1019' readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class=\"alert alert-danger\">You have missed the deadline to enroll in GCC's payment plan. <strong>Your balance is due immediately.<\/strong><\/div><\/div><fieldset id=\"field_2_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Enroll in payment plan?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_13'>\n\t\t\t<div class='gchoice gchoice_2_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_2_13_0' onchange='gformToggleRadioOther( this )'  tabindex='1020'  \/>\n\t\t\t\t\t<label for='choice_2_13_0' id='label_2_13_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_2_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No' checked='checked' id='choice_2_13_1' onchange='gformToggleRadioOther( this )'  tabindex='1021'  \/>\n\t\t\t\t\t<label for='choice_2_13_1' id='label_2_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment Plan<\/h3><div class='gsection_description' id='gfield_description_2_12'>If you are not paying your bill in full by the due date, you must sign up for the payment plan and make your first payment along with the fee. In addition, if you have applied for\nfinancial aid and have not been awarded by the due date, you must sign up for the payment plan and continue to make regular payments until your financial aid is awarded and you\nhave enough aid to pay your balance. In order to participate in the payment plan, a one-time $35 non-refundable fee applies per semester. <br><br>Disclaimer: If you are participating in the payment plan and you are purchasing student health insurance, your insurance premium will not be paid until your tuition and fee account is paid in full. Upon receipt of your final payment, coverage will begin retroactive to the beginning of the policy period. <br \/><br \/>Your entire account balance must be paid by the final payment plan due date. A bill will be sent to you at least 10 days prior to each due date. If you are signing up late for the payment plan, payments for prior due dates must be paid at the time you sign up. If a due date is approaching, that payment must be paid by the approaching due date. We reserve the right to charge a $10 late fee for each month your account is more than 30 days past due.<\/div><\/div><div id=\"field_2_58\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Payment plan due dates for this term:<\/p><\/div><div id=\"field_2_56\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter gf_inline gcldf-field gcldf-field-date gcldf-date-format-mdy gfield_trigger_change field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_56'><span class='gform-field-label__text'>Due Date 1<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input readonly='readonly'\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_56'\n\t\t\t\t\tclass='gpro-disabled-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_56'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='1022' \n\t\t\t\t\t\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_2_56' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_2_56' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_2_56' aria-label='Due Date 1: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<input type=\"hidden\" id=\"gwro_hidden_capture_2_56\" name=\"gwro_hidden_capture_2_56\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/div><div id=\"field_2_37\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter gcldf-field gcldf-field-date gcldf-date-format-mdy gfield_trigger_change field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_37'><span class='gform-field-label__text'>Due Date 2<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input readonly='readonly'\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_37'\n\t\t\t\t\tclass='gpro-disabled-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_37'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='1023' \n\t\t\t\t\t\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_2_37' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_2_37' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_2_37' aria-label='Due Date 2: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<input type=\"hidden\" id=\"gwro_hidden_capture_2_37\" name=\"gwro_hidden_capture_2_37\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/div><div id=\"field_2_57\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter gf_inline gcldf-field gcldf-field-date gcldf-date-format-mdy gfield_trigger_change field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'><span class='gform-field-label__text'>Due Date 3<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input readonly='readonly'\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_57'\n\t\t\t\t\tclass='gpro-disabled-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_57'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='1024' \n\t\t\t\t\t\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_2_57' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_2_57' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_2_57' aria-label='Due Date 3: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<input type=\"hidden\" id=\"gwro_hidden_capture_2_57\" name=\"gwro_hidden_capture_2_57\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter gf_inline gcldf-field gcldf-field-date gcldf-date-format-mdy gfield_trigger_change field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'><span class='gform-field-label__text'>Due Date 4<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input readonly='readonly'\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_38'\n\t\t\t\t\tclass='gpro-disabled-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_38'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='1025' \n\t\t\t\t\t\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_2_38' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_2_38' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_2_38' aria-label='Due Date 4: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<input type=\"hidden\" id=\"gwro_hidden_capture_2_38\" name=\"gwro_hidden_capture_2_38\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/div><div id=\"field_2_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_28'><span class='gform-field-label__text'>Installment Payment<\/span><\/label><div class='gfield_description' id='gfield_description_2_28'>You will make four (4) monthly payments of this amount<\/div><div class='ginput_container ginput_container_number'><input name='input_28' id='input_2_28' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1026' readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_2_28\" \/><\/div><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_16'><span class='gform-field-label__text'>Current Monthly Payment<\/span><\/label><div class='gfield_description' id='gfield_description_2_16'>Monthly payment that is currently due<\/div><div class='ginput_container ginput_container_number'><input name='input_16' id='input_2_16' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1027' readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_2_16\" \/><\/div><\/div><div id=\"field_2_19\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_19'><span class='gform-field-label__text'>Past Due Monthly Payments (1)<\/span><\/label><div class='gfield_description' id='gfield_description_2_19'>As of today, you have already missed one (1) monthly payment, which is due immediately<\/div><div class='ginput_container ginput_container_number'><input name='input_19' id='input_2_19' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1028' readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_2_19\" \/><\/div><\/div><div id=\"field_2_25\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_25'><span class='gform-field-label__text'>Past Due Monthly Payments (2)<\/span><\/label><div class='gfield_description' id='gfield_description_2_25'>As of today, you have already missed two (2) monthly payments, the total of which is due immediately<\/div><div class='ginput_container ginput_container_number'><input name='input_25' id='input_2_25' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1029' readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_2_25\" \/><\/div><\/div><div id=\"field_2_26\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'><span class='gform-field-label__text'>Past Due Monthly Payments (3)<\/span><\/label><div class='gfield_description' id='gfield_description_2_26'>As of today, you have already missed three (3) monthly payments, the total of which is due immediately<\/div><div class='ginput_container ginput_container_number'><input name='input_26' id='input_2_26' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1030' readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_2_26\" \/><\/div><\/div><div id=\"field_2_17\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'><span class='gform-field-label__text'>Payment Plan Fee<\/span><\/label><div class='gfield_description' id='gfield_description_2_17'>The Business Office charges this one-time fee <strong>per semester<\/strong> for the administration of the payment plan.<\/div><div class='ginput_container ginput_container_number'><input name='input_17' id='input_2_17' type='text' step='any'   value='$35.00' class='medium' tabindex='1031'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_17\" \/><\/div><\/div><div id=\"field_2_29\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_29'><span class='gform-field-label__text'>Total payment today<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_2_29' type='text' step='any'   value='' class='medium gform-text-input-reset' tabindex='1032' readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_2_43\" class=\"gfield gfield--type-tos gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Student Certification Statement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='gw_terms_43' class='large gptos_terms_container gwtos_terms_container' tabindex='1033'><div class='gptos_the_terms'><p>I understand that by checking the box below I am acknowledging and I agree to the following: <strong>My tuition and fee bills will be delivered to me strictly online through my MyGCC account and I will not receive regular bills by mail unless I request it in writing.<\/strong> I am responsible for retrieving all bills once I am notified by email that a bill is available to view and print from my account. Failure to review my e-bill does not constitute a valid reason for not paying my bill on time. I am responsible for payment of any charges shown on my account including tuition, all fees, books, program fees, or any other charges associated with my enrollment in classes, regardless of the source of payment I\u2019ve listed on this worksheet; If a balance remains on my account due to a Federal Title IV return of financial aid funds calculation, I understand that within 45 days from receipt of notification from the Financial Aid Office that my aid has been reduced, I must either pay the balance in full or make repayment arrangements with the Student Billing Office; If a payment has not been made on my behalf by the third party(s) I\u2019ve listed on this worksheet, I understand that charges will be billed to me by or before the end of the semester and I am responsible for paying any outstanding charges within 30 days from the date of the bill; Finally, I understand that any unpaid balance on my account is subject to additional collection action including: denial of additional services from GCC, late fees, collection agency referral, collection fees, and MA State Intercept of state payments due me, including state tax refunds as explained on the reverse of my billing statements. <\/p>\n<\/div><\/div>\n\t\t<style type=\"text\/css\">\n\n\t\t\t\/* Frontend Styles *\/\n\t\t\t.gptos_terms_container { height: 11.250em; width: 97.5%; background-color: #fff; overflow: auto; border: 1px solid #ccc; }\n\t\t\t.gptos_terms_container.small { width: 25%; }\n\t\t\t.gptos_terms_container.medium { width: 47.5%; }\n\t\t\t.gptos_terms_container.large { \/* default width *\/ }\n\t\t\t.left_label .gptos_terms_container,\n\t\t\t.right_label .gptos_terms_container { margin-left: 30% !important; width: auto !important; }\n\t\t\t.gform_wrapper .gptos_terms_container > div { margin: 1rem !important; }\n\t\t\t.gform_wrapper .gptos_terms_container ul,\n\t\t\t.gform_wrapper .gptos_terms_container ol { margin: 0 0 1rem 1.5rem !important; }\n\t\t\t.gform_wrapper .gptos_terms_container ul 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name='input_43.1' type='checkbox'  value='I acknowledge and agree to the above statement'  id='choice_2_43_1' tabindex='1034'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_43_1' id='label_2_43_1' class='gform-field-label gform-field-label--type-inline'>I acknowledge and agree to the above statement<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_24\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_invisible field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_24'><span class='gform-field-label__text'>today<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_24'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon 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class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' tabindex='1036'>Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='RJzXmNcB2SbMS4tJEFeMuTa1Y\/6Yapei05MsSb+mgNycspZUe6\/OfjfOdgLGOWYkmmS1+JiTNaef7GcWdMooAvE2OqIUbP9pI+4paRvia\/\/\/BLo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>If you owe a past due amount for a previous semester, you must contact Student Financial Services prior to enrolling in the payment plan.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4867,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mc_calendar":[],"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-5025","page","type-page","status-publish","hentry"],"publishpress_future_action":{"enabled":false,"date":"2026-08-19 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