Student's Initials

The elections made herein by Student are irrevocable. Upon execution of this Agreement and during the applicable Fixed Rate Term, Student may not revert to Kentucky State University's annual tuition payment plan but must pay tuition at the Fixed Tuition Rate applicable to Student as provided in this Agreement. If Student is still enrolled at Kentucky State University upon the completion of the Fixed Rate Term, Student shall pay tuition at Kentucky State University's then prevailing tuition rate or enter into a new Fixed Rate Tuition Plan Agreement at the then new Fixed Tuition Rate. This Agreement may not be earlier terminated by either Kentucky State University or Student.

In witnesss whereof Kentucky State University and Student have signed this Agreement as of the date first set forth above.

Kentucky State University

By: ___

Name: M. Christopher Brown II

Title: President

STUDENT _____

Print Name: _____

KSU ID Number: ___

PARENT (if student is under 18 years of age)

Print Name _____