Midwest Student Exchange Program (MSEP):
RCTC Registrar
851 30th Avenue SE
Rochester, MN 55904
To learn more about MSEP: http://www.mhec.org/resources_studentexchange.html
MSEP Request Form:
Student Full Name:_____________________________________
Student SSN:______________________
(providing your SSN is optional; it is used for identification
purposes only)
Permanent Address:
____________________________________________________
____________________________________________________
State of residence:______________ How many years?________
The information above is true and correct to the best of
my knowledge
and I hereby request the tuition benefit as provided by the MSEP
agreement.
________________________________________________________
Student Signature and Date