Enrollment Verification Form

"*" indicates required fields

Deadline to submit form is SEPTEMBER 1st for Fall & FEBRUARY 1st for Spring.

Complete after tuition is placed on your student account. Please allow up to 1-2 weeks for processing. BEFORE filling out this form make sure your grades from previous semester are posted.

Section A: Release of Information

Name

First Last

Student ID Number*

Name of College/University Attending*

This is my first semester at this school*

Yes

Major*

Which on campus organizations/offices are you involved or connected with? (If none, put N/A)*

Are you transferring to a different institution next semester?*

Are you struggling with anything at the moment?*

Would you like to share any successes of this semester with KHEDF to be highlighted? (Involvement, programs, academic achievements, internships, etc.)

Expected Graduation Term (Fall or Spring/Year):*

Section B: Contact Information

Preferred Phone*

Preferred Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Transcript

Upload your transcript*

Max. file size: 256 MB.

Tip: View your unofficial transcript and right click to print the page, save as PDF, and attach. If you take screenshots, make sure it shows your full name, GPA, and current courses you are enrolled in.

Applicant Signature*

Name

This field is for validation purposes and should be left unchanged.

Mailing Address
KHEDF
PO Box 4248
Wichita, KS 67204

Office
KHEDF
2601 N. Arkansas
Wichita, KS 67204

316-285-0291

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