Disclosures for Massachusetts Consumers and Prospective Students

Academic Headquarters 550 West Van Buren Stree Chicago, IL 60607 ADMISSIONS DEPARTMENT 6301 Kaplan University Avenue Fort Lauderdale, FL 33309 Tel: 866.527.5268 (Toll Free) Tel: 954.515.4700 1601 SW 80th Terrace Plantation, FL 33324 12650 Ingenuity Drive Orlando, FL 32826 Disclosures for Massachusetts Consumers and Prospective Students The Commonwealth of Massachusetts requires all for-profit institutions to provide consumers and prospective students these disclosures at least 72 hours before the consumer or prospective student enters into an enrollment agreement with the institution. Please review these disclosures carefully, then sign and date them and submit to your Admissions point of contact. Information Regarding Kaplan University Admissions Employees: The Kaplan University admissions team member with whom you, as a Massachusetts resident, will work is not an advisor. The primary purpose of the Massachusetts Kaplan University admissions team is to enroll students into Kaplan University programs. Massachusetts law prohibits Kaplan University from referring to admissions team members in Massachusetts as advisors. You may see references to Kaplan University Admissions Advisors in some public documents applying to residents of other states, but that reference does not apply to Kaplan University s Massachusetts admissions employees. Required Disclosures Cost of The list below contains the range of tuition costs for respective Kaplan University programs. For a complete list of programs and tuition costs, visit http://www.kaplanuniversity.edu/paying-school/tuition-fees.aspx. Total Tuition Certificate s $9,549.00-$22,392.00 Associate s $35,117.00-$45,167.00 Bachelor s $30,077.00-$70,207.00 Master s $6,990.00-$22,767.00 Massachusetts law defines as the number of students who received certificates, diplomas, or degrees in the program during the latest two calendar years, divided by the number of students who enrolled in the program during the latest two calendar years. Based on this calculation, Kaplan University s graduation rates of students who graduated from the programs listed below during 2012 and 2013 are as follows: 2012 s 2012 2012 Adult Nurse Practitioner Certificate 0 1 0% Adult-Gerontology Nurse Practitioner Certificate 0 9 0% Applied Behavioral Analysis 1 11 9% AAS in Accounting 315 587 54% AAS in Business Administration 967 2749 35% AAS in Computer Forensics 6 3 200% AAS in Computer Information Systems 9 1 900% AAS in Criminal Justice 832 1754 47% AAS in Early Childhood Development 139 826 17% AAS in Early Childhood Education 6 0 0% AAS in Educational Paraprofessional 67 243 28% AAS in Fire Science 37 178 21% AAS in Global Travel & Hospitality Management 7 1 700% AAS in Graphic Design 9 10 90% AAS in Health Information Technology 257 450 57% AAS in Human Services 468 1249 37% 1 of 11

2012 s (continued) 2012 2012 AAS in Information Technology 469 1481 32% AAS in Medical Assisting 880 1268 69% AAS in Medical Assisting IA, MD, NE 7 255 3% AAS in Medical Assisting Online and ME 1 1082 0% AAS in Medical Office Management 328 1077 30% AAS in Medical Transcription 233 248 94% AAS in Paralegal Studies 547 1015 54% AAS in Public Administration 9 8 101% AS in Health Science 0 12 0% AS in Interdisciplinary Studies 329 3 110% AS in Nursing 28 46 61% AS in Nursing IA & NE 83 265 31% BS in Accounting 512 807 63% BS in Business Administration 1177 2576 46% BS in Communication 149 356 42% BS in Criminal Justice 1097 2064 53% BS in Criminal Justice Administration and Management 58 137 42% BS in Early Childhood Development 79 753 10% BS in Environmental Policy and Management 33 134 25% BS in Fire and Emergency Management 36 173 21% BS in Fire Science 21 77 27% BS in Health & Wellness 215 571 38% BS in Health Care Administration 200 1075 19% BS in Health Science 273 666 41% BS in Human Services 381 1160 33% BS in Information Technology 633 1366 46% BS in International and Comparative Criminal Justice 27 56 48% BS in Legal Studies 249 591 42% BS in Liberal Studies 9 115 8% BS in Management 137 14 907% BS in Networking Technology 14 1 140% BS in Nursing 487 948 51% BS in Nutrition Science 323 746 43% BS in Paralegal Studies 322 524 61% BS in Political Science 22 105 21% BS in Professional Studies 39 2 195% BS in Psychology 819 2120 39% BS in Public Administration & Policy 15 42 36% BS in Public Health 44 4 110% BS in Software Development 4 0 0% Cisco Networks 4 10 40% Computer Forensics 3 4 75% Corrections Certificate 10 21 48% Crime Scene Technician Certificate 15 24 63% Executive Juris Doctor 56 62 90% 2 of 11

2012 s (continued) 2012 2012 Family Nurse Practitioner Certificate 0 22 0% Graduate Certificate in Accounting 13 18 72% Graduate Certificate in Addictions 0 12 0% Graduate Certificate in Entrepreneurship for Growth Ventures 0 5 0% Graduate Certificate in Entrepreneurship for New Ventures 12 23 52% Graduate Certificate in Human Resources 12 23 52% Graduate Certificate in Information Security 3 6 50% Graduate Certificate in Instructional Design for Organizations 9 12 75% Graduate Certificate in K-12 Educational Leadership 7 9 78% Graduate Certificate in Literacy and Language Teaching 0 1 0% Graduate Certificate in Literacy and Language Teaching Grades 6-12 1 1 100% Graduate Certificate in Literacy and Language Teaching Grades K-6 2 4 50% Graduate Certificate in Mathematics Teaching Secondary Grades 2 1 200% Graduate Certificate in Online College Teaching 9 18 50% Graduate Certificate in Project Management 23 43 53% Graduate Certificate in Teaching with Technology 2 4 50% Human Resources 4 5 80% Information Security 3 2 150% Internet and Website Development Certificate 2 1 200% Internet Web Design 8 15 53% Juris Doctor 85 605 14% Legal Secretary Certificate 28 51 55% Linux System Administration 1 3 33% Management & Supervision Certificate in Criminal Justice 0 8 0% Master of Arts in Teaching 114 165 69% Master of Business Administration 682 1123 61% Master of Health Care Administration 125 376 33% Master of Laws 4 9 44% Master of Public Administration 28 192 15% Master of Public Health 158 335 47% MS in Accounting 146 321 45% MS in Criminal Justice 246 512 48% MS in Education 172 182 95% MS in Education in Instructional Technology 32 88 36% MS in Educational Psychology 1 55 2% MS in Environmental Policy 0 59 0% MS in Finance 2 100 2% MS in Health Education 10 178 6% MS in Higher Education 208 322 65% MS in Homeland Security & Management 26 182 14% MS in Information Technology 231 406 57% MS in Legal Studies 166 321 52% MS in Management 171 430 40% MS in Nursing Adult-Gerontology Nurse Practitioner 0 77 0% MS in Nursing Family Nurse Practitioner 0 320 0% MS in Nursing Informatics 8 53 15% 3 of 11

2012 s (continued) 2012 2012 MS in Nursing Nurse Administrator 34 114 30% MS in Nursing Nurse Educator 95 202 47% MS in Psychology 206 1208 17% Medical Assistant Certificate 38 76 50% Medical Billing & Coding Certificate 29 44 66% Microsoft Operating Systems 1 2 50% Nurse Administration Graduate Certificate 2 4 50% Nurse Educator Graduate Certificate 4 0 0% Nurse Informatics Graduate Certificate 3 3 100% Oracle Database Administration 3 15 20% Pathway to Paralegal 76 81 94% Private Security Certificate 4 8 50% 2013 s 2013 2013 Adult-Gerontology Nurse Practitioner Certificate 0 20 0% Applied Behavioral Analysis 6 18 33% AAS in Accounting 221 840 26% AAS in Business Administration 848 4131 21% AAS in Computer Forensics 2 0 0% AAS in Criminal Justice 524 2333 22% AAS in Early Childhood Development 218 1773 12% AAS in Early Childhood Education 2 0 0% AAS in Educational Paraprofessional 75 15 500% AAS in Fire Science 43 284 15/5 AAS in Graphic Design 9 0 0% AAS in Health Information Technology 130 928 14% AAS in Human Services 407 2177 19% AAS in Information Technology 408 1680 24% AAS in Medical Assisting 462 51 900% AAS in Medical Assisting IA, MD, NE 119 544 22% AAS in Medical Assisting Online and ME 65 3207 2% AAS in Medical Office Management 216 1668 13% AAS in Medical Transcription 77 162 48% AAS in Paralegal Studies 368 1481 25% AAS in Public Administration 4 0 0% AS in Health Science 246 1282 19% AS in Interdisciplinary Studies 9 0 0% AS in Nursing 20 6 333% AS in Nursing IA & NE 205 324 63% Autism Spectrum Disorders 1 2 50% BS in Accounting 409 956 43% BS in Business Administration 1014 3070 33% BS in Communication 96 258 37% BS in Criminal Justice 768 2270 34% 4 of 11

2013 s (continued) 2013 2013 BS in Criminal Justice Administration and Management 53 6 883% BS in Early Childhood Development 230 1087 21% BS in Environmental Policy and Management 31 91 34% BS in Fire and Emergency Management 45 213 21% BS in Fire Science 10 103 10% BS in Health & Wellness 174 763 23% BS in Health Care Administration 235 1619 15% BS in Health Information Management 0 9 0% BS in Health Science 219 860 25% BS in Human Services 405 1442 28% BS in Information Technology 525 1400 38% BS in International and Comparative Criminal Justice 25 3 833% BS in Legal Studies 184 633 29% BS in Liberal Studies 19 213 9% BS in Management 19 4 475% BS in Networking Technology 3 1 300% BS in Nursing 501 1352 37% BS in Nutrition Science 288 919 31% BS in Paralegal Studies 203 648 31% BS in Political Science 21 11 190% BS in Professional Studies 11 1 110% BS in Psychology 607 2975 20% BS in Public Administration & Policy 15 7 214% BS in Public Health 46 2 230% Cisco Networks 7 11 64% Computer Forensics 5 5 100% Corrections Certificate 7 57 12% Crime Scene Technician Certificate 12 33 36% Doctor of Nursing Practice Adult-Gerontology Nurse Practitioner 0 4 0% Doctor of Nursing Practice Executive leader 0 4 0% Doctor of Nursing Practice Family Nurse Practitioner 0 10 0% Executive Juris Doctor 60 143 42% Family Nurse Practitioner Certificate 4 33 12% Graduate Certificate in Accounting 12 20 60% Graduate Certificate in Addictions 5 15 33% Graduate Certificate in Entrepreneurship for New Ventures 3 5 60% Graduate Certificate in Human Resources 21 35 60% Graduate Certificate in Industrial/Organizational Psychology 0 1 0% Graduate Certificate in Information Security 10 11 91% Graduate Certificate in Instructional Design for Organizations 18 32 56% Graduate Certificate in K-12 Educational Leadership 12 21 57% Graduate Certificate in Literacy and Language Teaching 3 8 38% Graduate Certificate in Literacy and Language Teaching Grades 6-12 1 0 0% Graduate Certificate in Literacy and Language Teaching Grades K-6 2 0 0% Graduate Certificate in Mathematics Teaching Secondary Grades 4 7 57% 5 of 11

2013 s (continued) 2013 2013 Graduate Certificate in Online College Teaching 11 25 44% Graduate Certificate in Project Management 23 43 53% Graduate Certificate in Teaching with Technology 1 2 50% Human Resources 1 10 10% Information Security 0 7 0% Internet Web Design 9 12 75% Juris Doctor 92 623 15% Legal Secretary Certificate 25 107 23% Linux System Administration 1 2 50% Management & Supervision Certificate in Criminal Justice 1 5 29% Master of Arts in Teaching 81 340 24% Master of Business Administration 495 1172 42% Master of Health Care Administration 145 606 24% Master of Health Informatics 0 7 0% Master of Health Information Management 0 14 0% Master of Laws 9 12 75% Master of Public Administration 79 319 25% Master of Public Health 168 532 32% MS in Accounting 175 448 39% MS in Criminal Justice 205 675 30% MS in Education 111 192 58% MS in Education in Instructional Technology 51 179 28% MS in Educational Psychology 13 85 15% MS in Environmental Policy 24 43 56% MS in Finance 46 189 24% MS in Health Education 45 195 23% MS in Higher Education 174 397 44% MS in Homeland Security & Management 72 240 30% MS in Information Technology 189 466 41% MS in Legal Studies 118 306 39% MS in Management 194 510 38% MS in Nursing Adult-Gerontology Nurse Practitioner 2 67 3% MS in Nursing Executive Leader 0 44 0% MS in Nursing Family Nurse Practitioner 6 280 2% MS in Nursing Informatics 11 95 12% MS in Nursing Nurse Administrator 41 118 35% MS in Nursing Nurse Educator 88 152 58% MS in Psychology 369 1607 23% Medical Assistant Certificate 39 88 44% Medical Billing & Coding Certificate 20 321 6% Microsoft Operating Systems 0 3 0% Nurse Administration Graduate Certificate 2 2 100% Nurse Educator Graduate Certificate 0 5 0% Nurse Informatics Graduate Certificate 1 3 33% MS in Nursing Nurse Administrator 41 118 35% 6 of 11

2013 s (continued) 2013 2013 MS in Nursing Nurse Educator 88 152 58% MS in Psychology 369 1607 23% Medical Assistant Certificate 39 88 44% Medical Billing & Coding Certificate 20 321 6% Microsoft Operating Systems 0 3 0% Nurse Administration Graduate Certificate 2 2 100% Nurse Educator Graduate Certificate 0 5 0% Nurse Informatics Graduate Certificate 1 3 33% Oracle Database Administration 6 12 50% Pathway to Paralegal 53 103 51% Postgraduate Certificate in Applied Behavioral Analysis 20 50 40% Practical Nursing Diploma 87 44 198% Private Security Certificate 2 23 9% Time Massachusetts law defines as the median duration of attendance in months, rounded to the nearest month, of all students who obtained a certificate, diploma, or degree from a program during the latest two calendar years. Based on this definition, the average Kaplan University student graduates in the median completion time indicated below: 2012 Applied Behavioral Analysis Postbaccalaureate Certificate 7 AAS in Educational Paraprofessional 22 Associate of Applied Science in Accounting 23 AAS in Fire Science 17 AAS in Business Administration 23 AAS in Global Travel & Hospitality Management 31 AAS in Computer Forensics 16 AAS in Graphic Design 18 AAS in Computer Information Systems 33 AAS in Health Information Technology 28 AAS in Criminal Justice 23 AAS in Human Services 23 AAS in Early Childhood Development 21 AAS in Information Technology 23 AAS in Early Childhood Education 25 AAS in Medical Assisting 23 AAS in Educational Paraprofessional 22 AAS in Medical Assisting IA, MD, NE 25 AAS in Fire Science 17 AAS in Medical Assisting Online and ME 58 AAS in Global Travel & Hospitality Management 31 AAS in Medical Office Management 27 AAS in Graphic Design 18 AAS in Medical Transcription 26 AAS in Health Information Technology 28 AAS in Paralegal Studies 22 AAS in Human Services 23 AAS in Public Administration 19 AAS in Information Technology 23 AS in Interdisciplinary Studies 23 AAS in Medical Assisting 23 AS in Nursing 28 Applied Behavioral Analysis 7 AS in Nursing IA & NE 20 Associate of Applied Science in Accounting 23 BS in Accounting 26 AAS in Business Administration 23 BS in Business Administration 28 AAS in Computer Forensics 16 BS in Communication 30 AAS in Computer Information Systems 33 BS in Business Administration 28 AAS in Criminal Justice 23 BS in Communication 30 AAS in Early Childhood Development 21 BS in Criminal Justice 28 AAS in Early Childhood Education 25 BS in Criminal Justice Administration and Management 25 7 of 11

2012 (continued) BS in Early Childhood Development 17 Graduate Certificate in Project Management 6 BS in Environmental Policy and Management 26 Graduate Certificate in Mathematics Teaching Secondary Grades 10 BS in Fire and Emergency Management 23 Graduate Certificate in Online College Teaching 7 BS in Fire Science 28 Graduate Certificate in Project Management 6 BS in Health & Wellness 27 Graduate Certificate in Teaching with Technology 10 BS in Health Care Administration 23 Human Resource 11 BS in Health Science 28 Information Security 10 BS in Human Services 23 Internet and Website Development Certificate 25 BS in Information Technology 28 Internet Web Design 10 BS in International and Comparative Criminal Justice 23 Juris Doctor 52 BS in Legal Studies 28 Legal Secretary Certificate 7 BS in Liberal Studies 34 Linux System Administration 7 BS in Management 48 Master of Arts in Teaching 22 Bachelor of Science in Networking Technology 46 Master of Business Administration 24 BS in Nursing 25 Master of Health Care Administration 18 BS in Nutrition Science 28 Master of Laws 17 BS in Paralegal Studies 28 Master of Public Administration 21 BS in Political Science 20 Master of Public Health 21 BS in Professional Studies 26 MS in Accounting 20 BS in Psychology 31 MS in Criminal Justice 28 BS in Public Administration & Policy 23 MS in Education 23 BS in Public Health 23 MS in Education in Instructional Technology 14 BS in Software Development 45 MS in Educational Psychology 12 Cisco Networks 9 Legal Secretary Certificate 7 Computer Forensics 14 Linux System Administration Postbaccalaureate Certificate 7 Corrections Certificate 10 Master of Arts in Teaching 22 Crime Scene Technician Certificate 18 Master of Business Administration 24 Executive Juris Doctor 41 Master of Health Care Administration 18 Graduate Certificate in Accounting 7 Master of Laws 17 Graduate Certificate in Entrepreneurship for New Ventures 2 Master of Public Administration 21 Graduate Certificate in Human Resources 6 Master of Public Health 21 Graduate Certificate in Information Security 7 MS in Accounting 20 Graduate Certificate in Instructional Design for Organizations 10 MS in Criminal Justice 28 Graduate Certificate in K-12 Educational Leadership 7 MS in Education 23 Graduate Certificate in Literacy and Language Teaching Grades 6-12 10 MS in Education in Instructional Technology 14 Graduate Certificate in Literacy and Language Teaching Grades K-6 8 MS in Educational Psychology 12 Graduate Certificate in Mathematics Teaching Secondary Grades 10 Medical Assistant Certificate 6 Graduate Certificate in Online College Teaching 7 Medical Billing & Coding Certificate 6 8 of 11

2012 (Continued) Microsoft Operating Systems Postbaccalaureate Certificate 7 Pathway to Paralegal 10 Nurse Administration Graduate Certificate 12 Postgraduate Certificate in Applied Behavioral Analysis 7 Nurse Educator Graduate Certificate 12 Practical Nursing Diploma 13 Nurse Informatics Graduate Certificate 12 Private Security Certificate 12 Oracle Database Administration 8 2013 Applied Behavioral Analysis Postbaccalaureate Certificate 8 BS in Early Childhood Development 23 AAS in Accounting 22 BS in Environmental Policy and Management 39 AAS in Business Administration 22 BS in Fire and Emergency Management 25 AAS in Computer Forensics 18 BS in Fire Science 32 AAS in Criminal Justice 22 BS in Health & Wellness 28 AAS in Early Childhood Development 22 BS in Health Care Administration 25 AAS in Early Childhood Education 31 BS in Health Science 30 AAS in Educational Paraprofessional 23 BS in Human Services 25 AAS in Fire Science 20 BS in Information Technology 33 AAS in Graphic Design 19 BS in International and Comparative Criminal Justice 30 AAS in Health Information Technology 28 BS in Legal Studies 32 AAS in Human Services 22 BS in Liberal Studies 25 AAS in Information Technology 20 BS in Management 59 AAS in Medical Assisting 23 BS in Networking Technology 64 AAS in Medical Assisting IA, MD, NE 16 BS in Nursing 23 AAS in Medical Assisting Online and ME 31 BS in Nutrition Science 30 AAS in Medical Office Management 26 BS in Paralegal Studies 26 AAS in Medical Transcription 25 BS in Political Science 25 AAS in Paralegal Studies 22 BS in Professional Studies 36 AAS in Public Administration 24 BS in Psychology 36 AS in Health Science 5 BS in Public Administration & Policy 30 AS in Interdisciplinary Studies 31 BS in Public Health 33 AS in Nursing 30 Cisco Networks 13 AS in Nursing IA & NE 18 Computer Forensics 12 Autism Spectrum Disorders 8 Corrections Certificate 10 BS in Accounting 25 Crime Scene Technician Certificate 18 BS in Business Administration 30 Executive Juris Doctor 41 BS in Communication 32 Family Nurse Practitioner Certificate 18 BS in Criminal Justice 31 Graduate Certificate in Accounting 6 BS in Criminal Justice Administration and Management 25 Graduate Certificate in Addictions 13 9 of 11

2013 (continued) Corrections Certificate 10 Master of Public Health 25 Crime Scene Technician Certificate 18 MS in Accounting 20 Executive Juris Doctor 41 MS in Criminal Justice 30 Family Nurse Practitioner Certificate 18 MS in Education 20 Graduate Certificate in Accounting 6 MS in Education in Instructional Technology 22 Graduate Certificate in Addictions 13 MS in Educational Psychology 15 Graduate Certificate in Entrepreneurship for New Ventures 2 MS in Environmental Policy 28 Graduate Certificate in Human Resources 6 MS in Finance 20 Graduate Certificate in Information Security 6 MS in Health Education 20 Graduate Certificate in Instructional Design for Organizations 6 MS in Higher Education 22 Graduate Certificate in K-12 Educational Leadership 6 MS in Homeland Security & Management 27 Graduate Certificate in Literacy and Language Teaching 6 MS in Information Technology 21 Graduate Certificate in Literacy and Language Teaching Grades 6-12 10 MS in Legal Studies 28 Graduate Certificate in Literacy and Language Teaching Grades K-6 10 MS in Management 22 Graduate Certificate in Mathematics Teaching Secondary Grades 6 MS in Nursing Adult-Gerontology Nurse Practitioner Graduate Certificate in Online College Teaching 9 MS in Nursing Family Nurse Practitioner 28 Graduate Certificate in Project Management 6 MS in Nursing Informatics 28 Graduate Certificate in Teaching with Technology 10 MS in Nursing Nurse Administrator 30 Human Resource 8 MS in Nursing Nurse Educator 28 Internet Web Design 12 MS in Psychology 20 Juris Doctor 48 Medical Assistant Certificate 12 Legal Secretary Certificate 7 Medical Billing & Coding Certificate 17 Linux System Administration 7 Nurse Administration Graduate Certificate 13 Management & Supervision Certificate in Criminal Justice 15 Nurse Informatics Graduate Certificate 15 Master of Arts in Teaching 22 Oracle Database Administration 8 Master of Business Administration 24 Pathway to Paralegal 10 Master of Health Care Administration 21 Postgraduate Certificate in Applied Behavioral Analysis 10 Master of Laws 5 Practical Nursing Diploma 15 Master of Public Administration 27 Private Security Certificate 38 30 10 of 11

Your Loan Debt You must repay money that you borrow as student loans to pay for this program, including interest. You must repay any portion of the money you borrow to pay for this program, even if you fail to complete or drop out of the program. Failure to repay student loans is likely to have a serious negative effect on your credit, future earnings, and your ability to obtain future student loans. Loan Nonpayment Statistics Massachusetts requires institutions to disclose a loan nonpayment percentage comprising students in the institution s most recent federal cohort default rate (covering years 2008-2010), additional students in that cohort whose Stafford loans were in deferment or forbearance, and additional students who defaulted under the terms of institutional loans during the period. 58.9% of Kaplan University students defaulted on or failed to repay their loans during the period 2008-2010, as shown below: All Borrowers Defaulters 2010 Official CDR Non-Defaulted Borrowers in Deferment or Forbearance* Defaulted Institutional Borrowers Total Non-Payers Loan Nonpayment Percentage 42,263 10,963 13,735 213 24,911 58.9% * Includes students who were enrolled at least half time in an eligible postsecondary institution; who qualified for disability rehabilitation, unemployment, or economic hardship deferment; or who qualified for military service or post-active duty student loan deferment. Calculated as the Total Non-Payers divided by the number of All Borrowers. Placement s and Employment Statistics Massachusetts law requires schools to disclose graduate placement rates and employment statistics. Kaplan University s accreditor, The Higher Learning Commission, does not require the University to track and report placement rates. Accordingly, Kaplan University cannot report the percentage of graduates during 2012 and 2013 who obtained full-time, non-temporary jobs in their field of study or the total placement rate of students enrolled in a program during 2012 and 2013 who obtained full-time, non-temporary jobs in their field of study, and Massachusetts students should assume that the graduate placement rate and total placement rates are 0%. Further, because Kaplan University has not tracked placement for 2012 and 2013, it does not have employment statistics available for these calendar years. My signature below indicates that I have read and understand the disclosures in this document. Signature of Applicant X Date X Print Name: 11 of 11