EIL Credit Purchase Form
Name
*
First Name
Last Name
Email
*
example@example.com
BYUH ID
*
Year
*
Ex. 2026
Major
*
Semester
*
Fall
Winter
Spring
Course Credit Request
*
Payment Information
Cost per credit: $5
Total Amount Due
*
$
Attach Receipt from Cashier Office
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
EIL Program Lead Email
Juan Escalante
Academic Advisor
*
Please Select
Marilee Ching
Patricia Hi'i Campbell
Callie Duerden
Danielle Kinikini
Julie Kunz
Russell Runnels
Kailee Tropia
Rylee Walker
Academic Advisor's Email
*
example@example.com
Dean Email
Nancy Tarawhiti
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: