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Completion of this form does not guarantee that a transfer will occur. Transfer will be contingent upon availability of funds and student eligibility. You will be notified in writing whether or not a transfer is completed.
Pay Period End Date:(Complete all that apply)
* You must notify the Student Employment Office by June 2017 if you want any late pay to work-study transferred for any of the pay periods above to charge in the 2016-2017 Fiscal Year.