Enrollment Deposit Form

If you are paying your $200 enrollment deposit by credit card or debit card, you can submit this form electronically. Otherwise, please print and mail, along with a $200 check or money order, to:

Carthage Office of Admissions
2001 Alford Park Drive
Kenosha, WI 53140

No login is required to submit this form.

Student Contact Information

Student First Name

Student Last Name

Student Birthdate

Student Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Student Mobile Phone Number

Student Home Phone Number

Enrollment Decision

Enrollment deposit for enrollment in:

Note: Fall 2025 deposits are only refundable if the refund request is made on or before May 1, 2025.

Admission Decision

I accept admission to Carthage. I am making my $200 enrollment deposit.

I accept admission to Carthage. I am making my $200 enrollment deposit to reserve my place, but I am undecided about my college choice.

I am no longer considering Carthage.

Why are you withdrawing your application? What factors have led you to prefer other college options?

If you have made a final college choice, what college will you be attending?

If you haven't made a final college choice, what other colleges are you considering?

The most important factors in my decision are:

Questions I would like answered include:

Amount Due
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Amount Due

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