GIFT OF KNOWLEDGE REDEMPTION FORM

Employee Name Company Department

Work Phone

Return Fax Number (IMPORTANT)

Hire Date

Your Relationship to the Student Student Mailing Address Student Shipping Address Student Email Address

Students Name

Students Telephone Number

___________________________________________________________ Kaplan Test Prep Dearborn Score Self Test Software Schweser Kaplan CPA Review Kaplan Higher Education Kaplan College College for Professional Studies Course Code Expiration Date Course Location Payment Amount

Program Offered Through (select one):

Course Title Credit Card/Check #

EMPLOYEE/STUDENT--FAX COMPLETED FORM TO: KAPLAN HUMAN RESOURCES 212-957-9695 HR will verify employment status and fax form back to the employee. Employee must bring completed form directly to the center or forward to the appropriate online division to receive discount. Employee Date of Hire: HR Verification: ____________________________ ____________________________ Employee Status: Date: Full-Time/Part-Time _________________

BUSINESS AND CENTER MANAGERSCOMPLETE AND FAX TO KAPLAN ACCOUNTING DEPT 212-492-5872 ( Course Tuition ) + ( ) Shipping Fee ( Pell Eligibility ) ( ) Discount Applied* = ( ) Total Cost To Student
(This semester total cost ONLY

(2 course max/price per semester) (Tuition for this semester ONLY)

(Quest and Kaplan College ONLY)

___________________________________________________________________________________________________________ Cost Center Location Name Manager Name Print Manager Signature Date
For Accounting Use Only Credit Cost Account Applied Center

*The Kaplan Business Unit providing the course will receive a credit equal to 25% of the discount provided.

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