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 51Æ·²è 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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_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ CHANGE OF CORE CURRICULUM REQUEST Student Name _________________...
Add Dependent Last Name First Name Date of Birth Soc Sec # Spouse: Child: Child: Child: Remove Dependent Last Name First Name Soc Sec # Reason Spouse: Child: Child: Child: Employee Change Form Current Informa4on: Name Soc Sec Number Are you also a Student or Alumni? • Yes • No New/Updated Informa4on: Effec8ve Date of Change: Name * **(Please contact Help Desk to update your email address) *(If you are a student or alumni, we will also no8fy the ...
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