Fillable 2019-2020 Consortium Agreement/UB Advisor Consent (University of Baltimore)

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2019-2020 Consortium Agreement/UB Advisor Consent (University of Baltimore)

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Office of Financial Aid • 1420 N. Charles St. • Baltimore, MD 21201 • p: 410.837.4763 • f: 410.837.5493 • financialaid@ubalt.edu
2019-2020 Consortium Agreement/UB Advisor Consent
If you are seeking a degree or certificate from the University of Baltimore (UB) and plan to enroll at another school this semester,
please complete this form, have your academic advisor sign it, and return it to the Office of Financial Aid. This consortium
agreement will allow UB to disburse financial aid based on your combined enrollment at both institutions. You will receive your
financial aid through the UB Office of Financial Aid. Funds/potential financial aid refunds do not transfer automatically; you are
responsible for paying the host institution. All disbursement activity happens in accordance with the UB Financial Aid Calendar.
In order to qualify for a Consortium Agreement, you must be enrolled at least half-time at UB. There is no need to complete a
Consortium Agreement if you are already enrolled full-time at UB as you will already receive the maximum amount of financial
aid for which you are eligible. Exceptions to this required enrollment may be considered for study abroad students and law students
visiting other institutions. UB institutional grants and scholarships will not be adjusted based on any courses taken at other
institutions; only your UB enrollment will be considered for these awards. If you are taking a course(s) at another USM
institution, you should consider enrolling via Inter-Institutional Registration through the Office of the University Registrar.
Last Name First Name M.I. Student ID Number (begins with 1 or 3)
Email Address Telephone Number Date of Birth
Deadline to submit this Consortium Agreement:
Semester: _____________________________
Host Institution: _______________________________________________
How many credits are you enrolled in at UB this semester*? ____________
Why are these
courses not being taken at UB? ________________________
_____________________________________________________________
Please list the course(s) you are taking at the host school, course number, and the number of credits for each that will be
transferred to UB and count towards your UB program of study.
Name of Course
Course Number
Credits
UB Academic Advisor Signature Printed Name Phone Extension
UB Email Address Academic Department Date
Fall 2019: 09/04/2019
Spring 2020: 02/04/2020
*As a reminder, you MUST enroll
half-time at UB to qualify for this
Consortium Agreement. You do
not need to complete this form if
you are enrolled full-time at UB.
Office of Financial Aid • 1420 N. Charles St. • Baltimore, MD 21201 • p: 410.837.4763 • f: 410.837.5493 • financialaid@ubalt.edu
2019-2020 Consortium Agreement/Host Institution Form
This student is seeking a degree or certificate from the University of Baltimore (UB) and plans to enroll at the host school listed below.
This consortium
agreement will allow UB to disburse financial aid based on the student’s combined enrollment at both institutions.
UB is responsible for determining eligibility and awards, disbursing aid, monitoring academic progress, keeping records, returning funds, and
federal reporting requirements. After all UB charges are paid, UB will refund any excess aid to the student. The student is responsible for
paying the host institutions charges. You must submit a copy of your course registration at your host institution to UB with this completed
form.
Last Name First Name M.I. Student ID Number (begins with 1 or 3)
Email Address Telephone Number Date of Birth
Student Responsibilities
• Student must notify the UB Office of Financial Aid if you do not enroll and/or complete these courses.
• Student must also submit Permission to Transfer Outside Courses form from their UB Academic Advisor.
• Student understands
and accepts responsibility for payment obligations at the host school.
• Student must be enrolled at least half-time at UB during the semester of this consortium agreement.
By signing below, I acknowledge I have read, understand, and agree to abide by the terms and procedures of the consortium
agreement. I hereby authorize the host institution to release the requested information to UB on my behalf to complete this
process.
Student signature Date
HOST SCHOOL FINANCIAL AID OFFICE SECTION
Course Name (or attach schedule)
Course
Number
Credits
Course
Start Date
Course
End Date
Last Day to
Drop Course
Tuition and Fees: $ ________________
Room and Board: $ ________________
Transportation/Parking: $ ________________
Books and Supplies: $ ________________
Other: $ ________________
Total COA for Period: $ ________________
The Office of Financial Aid of the host school agrees to complete this form, confirm enrollment, inform UB if the student
withdraws from these courses, and to not give the student any Title IV aid during this enrollment period.
Authorized Signature Printed Name Phone Number
Signatory’s Title Host Institution Date!
Please fax the completed form
back to UB at
410.837.5493
or email it to
financialaid@ubalt.edu
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2019-2020 Consortium AgreementUB Advisor Consent (University of Baltimore)

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Completed 28 August 2020

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