Name Date Card Number Expiration Date Name on Card Today’s Date Signature (REQUIRED) Date Ä¢¹½Ö±²¥ Fund/Area of Greatest Need I will contribute to the Campus Community Campaign with a per paycheck deduction of $ beginning (month/year) so long as I am a Ä¢¹½Ö±²¥ employee or until such time I determine to either amend or cancel. PAYROLL DEDUCTION SINGLE GIFT $ PLEASE RETURN COMPLETED FROM TO: Office of Annual Giving Programs, 2nd floor, Maria ...
PA ACT 45/48 CONTINUING PROFESSIONAL EDUCATION RELEASE FORM LAST NAME FIRST NAME MID INIT MAIDEN NAME STREET CITY STATE ZIP PPID NUMBER EMAIL PHONE NUMBER I authorize Ä¢¹½Ö±²¥ to provide the following course information to my PERMS account with the Pennsylvania Department of Education on my behalf. Course number Course title Credits Semester year I checked this form and accept responsibility for any inaccuracies. By my signature, I certify that I have verified with ...
Federal Title IV Parent Authorization Form Federal regulations require the University to only apply federal Title IV funds to certain allowable charges. Federal Title IV funds include: • Direct PLUS Loan • Direct Subsidized/ Unsubsidized Loan • Pell Grant • Direct Graduate PLUS Loan Allowable charges include only the following: • Tuition • Mandatory Fees • Room and board, if contracted with the University If the sum of federal Title IV funds exceed the sum of these ...
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