Deposit Exemption Form

I plan to be an...

Online Student

On-Campus Student

Deposit exemptions for on-campus students are limited to $100 only and are considered for students who have demonstrated exceptional financial need.

Submissions are reviewed by the Director of Financial Aid to determine eligibility.

Until granted, this form is considered conditional, and once approved, will be provided to the Admissions Office. To reserve a residential room on campus, students must submit a $100 deposit independent of the request for a $100 deposit exemption.

Student Information

First Name

Middle Name

Last Name

Birthdate

Entry Term

Contact Information

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Email Address

I acknowledge that the submission of an enrollment deposit to a college/university is a confirmation of the intent to enroll at the college/university of choice. By completing this form, I acknowledge that Kentucky Wesleyan College is my first choice college. The college, based on information provided by the financial aid office, has agreed to waive the submission of my enrollment deposit and allow me to continue in the enrollment process in lieu of submitting the enrollment deposit, which is required of all incoming students.

By signing below, I confirm that I do intend and am committed to enroll at Kentucky Wesleyan College, beginning the term listed above.

In place of your signature, please type your full legal name:

Date: