CONSRT
FINANCIAL AID CONSORTIUM AGREEMENT
1700 Spring Garden Street, Room MG-15, Philadelphia, PA 19130
Telephone: (215) 751- 8271 Email: financialaid@ccp.edu
STUDENT SECTION:
Name_______________________ _________________ _____ SSN _______________________ J # _________________________
Last First MI
Address___________________________________________ _____________________ _____________________________ _______
Street City State ZIP
Telephone ____________________________ E-mail address _____________________________________Term/Year _____________
• I understand: I cannot receive financial aid at two schools during the same term. I need to obtain a permission letter
from the
Transcript
Evaluation Office for the consortium course(s). Enrollment in extended term and/or correspondence courses may
have an impact on my financial aid.
• I will attach a copy of my registration at the host (second) institution to this form.
• The consortium course(s), if approved, will be included in measuring Satisfactory Academic Progress at my home institution.
• I cannot change my enrollment without notifying the Financial Aid Office at my home institution.
• I will provide an OFFICIAL academic transcript from the host institution to my home institution once the term covered by the
financial aid consortium agreement has concluded. I understand the tuition and fees incurred at the host institution are my
responsibility.
Financial Aid Office use only
HOST INSTITUTION SECTION:
Institution Name______________________________________________________________________________________________
Course # Course Title
# of Semester
Credits
Term Type * Term Dates
Instruction
Mode
Grading
Option
*Term type: Semester, quarter, extended term, other. Note: Federal financial aid regulations subject courses that deviate substantially from the institution’s standard
term to more stringent treatment (e.g., an institution on the semester system offers an extended term course that allows more than six months for completion).
*Instruction mode: On-campus, telecommunications, correspondence, other. On-campus includes face-to-face, lecture/lab, etc. Note: Federal
financial aid regulations subject correspondence courses to more stringent treatment than on-campus or telecommunications courses.
*Grading option: A-F, S-N (satisfactory-unsatisfactory), audit, other.
• The student has registered for the courses above.
• The student will not receive financial aid at this institution.
• The visited college will promptly notify the Financial Aid Office at Community College of Philadelphia if the student
withdraws from any coursework or withdraws completely. Such notice will include the last date of attendance.
Financial Aid Administrator printed name____________________________ Signature______________________ Date___________
Telephone: ________________________ Email: ________________________________
This Financial Aid Consortium Agreement is: _______ Approved _______ Not approved
Financial Aid signature________________________________________________________ Date___________________________