There are some very important forms and tasks that you need to complete throughout the prior to coming to campus before you arrive at Pitzer in the Spring. Below is information on some of the to-do items, but make sure to check your SageDen throughout the summer to track deadlines and view new information.
Please read each section carefully, as specific instructions to submit the different forms are provided.
|1. Housing Application & Residence Hall Agreement
||Due by Friday, January 3, 2020
|2. Medical Insurance Wavier
||Waiver portal will go live beginning on Wednesday January 8, 2020. The deadline to complete the online waiver is Friday, January 24, 2020.
|3. Health History & Medical Examination Forms
||Due before Friday, January 24, 2020. Must be submitted directly to CUC Student Health Services.
|4. Request for Disability Services Form
|5. Photo Submission for Pitzer ID Card
||Due by Friday, January 3, 2020.
2. Medical Insurance Wavier
Medical insurance is mandatory for all students. All students will be automatically enrolled in the Claremont Colleges’ Student Health Insurance Plan and they must complete the online waiver in order to waive out of the plan. Students can obtain a 100 percent refund before the spring waiver deadline (January 24, 2020). After the deadline the medical coverage charge is non-refundable. It is the student’s responsibility to keep the College informed of changes in medical coverage and coverage must be confirmed every year. The deadline to submit your Medical Insurance waiver will be January 24th, 2020.
Access more information here about the Student Health Insurance Plan.
If you have any questions or concerns, please contact the Office of Student Affairs 909.607.2821 or e-mail email@example.com
3. Entrance Physical & Immunization Records
Your Entrance Physical & Immunization Records should be filled out and submitted directly to Claremont University Consortium (CUC) Student Health Services. Please review all the information thoroughly before submitting the completed form to CUC Student Health Services. You should submit your completed form by mail or email to firstname.lastname@example.org by Friday January 24, 2020.
Please take a moment to visit the Student Health Services website as it contains important information such as the SHS forms including the entrance physical forms, psychiatric medication policy, and vaccine information. Although the Student Health Center is closed over the winter break (December 23, 2019 – January 10, 2020), you may access additional information regarding Student Health Services by visiting their website or calling and leaving a voicemail message at 909.621.8222 which is checked weekly.
5. Photo Submission for Pitzer ID Card
All new students need to submit a photo to be used for your Pitzer ID card by Friday, January 3, 2020.
The ID Card Photo Submission form will be located on the SageDen. Photos must be submitted on time or you will not have an ID card when you arrive on campus in January to access your residence hall or the dining hall.