Enrollment Verification Form

"*" indicates required fields

Deadline For Students to submit form is Sept. 15 for Fall & Feb. 15 for Spring.

Complete after Tuition is placed on your student account. Please allow up to 1-2 weeks for processing. If you are filling out this form for a SPRING Semester, ensure your Grades for Fall are posted before submitting.

Section A: Release of Information

Student Full Name*

Student ID Number*

Name of College/University Attending*

Major*

Expected Graduation Term (Spring/Year):*

Applicant Signature*

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.

Comments

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Mailing Address
KHEDF
PO Box 4248
Wichita, KS 67204

Office
KHEDF
2601 N. Arkansas
Wichita, KS 67204

316-285-0291

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