KENTUCKY STATE UNIVERSITY

Office of Bursar, 400 East Main Street, Frankfort, KY 40601

Telephone (502) 597 6278, Facsimile (502)597 5936

 

FEDERAL WORK STUDY CHECK

CREDIT ENTRY AUTHORIZATION FORM

 

I, , hereinafter also referred to as Student, hereby authorize Kentucky State University, hereafter referred to as School, to credit my Federal Work Study check from time to time to my Student Account No. at the School for payment of institutional charges including, but not limited to, tuition, fees, room, and board. To accomplish this I waive check endorsement rights and authorize the School to deposit my work-study check into the School General Fund after the credit entry to my account. This authorization will remain in effect until the School receives written notice of termination from the Student. I have retained a complete copy of this Authorization for my record.

 I agree that above information is correct.



Author information goes here.
Copyright 2001 [OrganizationName]. All rights reserved.
Revised: 06/26/07.