IN WITNESS WHEREOF, the parties have entered into this Agreement as of the Effective Date listed above.

ADMINISTRATOR

[Insert Name] Title

KENTUCKY STATE UNIVERSITY

RECOMMENDED FOR APPROVAL BY:

Reviewed as to Form Office of General Counsel Kentucky State University

[Insert Name]

Interim Executive Vice President for Finance and Administration & Chief of Staff Reviewed as to Form Office of General Counsel Kentucky State University

[Insert Name]

General Counsel

[Insert Name] Controller