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					                                       Kansas Board of Regents
                                         Community Colleges
                                          Credit Hour Form

                                             Summer 2009

                                              Community College


Please read the appropriate Kansas statutes and regulations before completing this form. List below
the total academic and vocation credit hours of duly enrolled students claimed for this semester,
along with total hours and dollars that would have previously been billed to the counties for out-district
tuition. Out-district tuition should no longer be billed to counties. The out-district hours are being
collected for information purposes only.

Academic Credit Hours                                  Out-District Credit Hours

Vocational Credit Hours

Total Credit Hours                          0.00

               College Official Signature

Contact Person:

Please submit to:    Tiffany Reed, Associate Director of Finance
                     Kansas Board of Regents                                  This report is due:
                     1000 SW Jackson St., Suite 520                           September 11, 2009
                     Topeka, KS 66612-1368
                     Fax: 785-296-0983