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Kentucky: Council on Postsecondary Education

Step 2:
Please print this form and mail to the address provided below.

Parent/Guardian Confirmation
Transmittal Notification
2014 Academically Proficient High School Junior and Senior Diversity Conference

Date: 
Time: 
Registrant's Name: 

The information as received on the above date reflects the intent of _____________________________________________________________________ to attend the conference at the Murray State University, June 13-14, 2014. As the parent or guardian of _____________________________________________________________________ , I approve her/his attending the conference.

Date: 
Parent/Guardian Signature: 
City/State: 
Phone: 
Email: 

Council on Postsecondary Education
Attn: Rana Johnson
Chief Diversity Officer
1024 Capital Center Drive, Suite 320
Frankfort, Kentucky 40601

Fax: 502-573-1535

 

Last Updated 2/10/2009
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