Bookstore Release

 

I hereby authorize Hazard Community and Technical College (HCTC) to deduct any and all indebtedness that I may have at the Barnes and Noble Bookstore #74 (located at HCTC) from any type of financial assistance I might receive.  In order to process the deductions, I consent to release to the bookstore of any necessary information from my student financial assistance records.

 

I understand that I am personally responsible for payment of all my bookstore charges in the event that my grant/scholarship/loan is revoked or does not cover the entire balance of my charges.  I accept full responsibility for the payment of my charges.  I acknowledge that KCTCS will pursue collection of all outstanding accounts pursuant to its Business Procedures.  Further, I acknowledge if my account becomes delinquent KCTCS may refer it to outside agencies for collection with the referral being subject to additional fees and costs.

 

I also understand that my purchases are subject to the established refund policies and guidelines of the bookstore.

 

Further, I acknowledge and hereby grant the college the right to apply any financial aid I may receive toward the payment of this note, including but not limited to PELL, SEOG, external or institutional scholarships, and/or student loans.

 

Title IV Release

 

I hereby authorize all funds, including Title IV, to be used for the purposes of payment of any non required institutional charges (if assessed); fees (including tuition), library fines, parking fine, etc.

 

I hereby authorize all current year funds to apply to any minor prior year charges.

 

This is a voluntary authorization and you may refuse to authorize use of funds or rescind any or all provisions of the authorization at any time by contacting the HCTC Financial Aid Office.

 

Acknowledgement

 

I acknowledge by my signature below, I completely understand and agree to the above releases of information as it pertains to my financial aid record and my charges at Hazard Community and Technical College.

 

 

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Print Full Name                                                                                    Student ID # or SSN

 

 

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Signature of Student                                                                                           Date

 

 

 

 

Hazard Community and Technical College is an equal opportunity institution