RETURN THIS COMPLETED FORM WITH REQUIRED DOCUMENTATION TO:
Wayne Community College - Financial Aid Office - PO Box 8002 - Goldsboro, NC 27533-8002
FAX: 919-736-9425
Wayne Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award associate degrees. Contact the Commission on Colleges at 1866
Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Wayne Community College. The Commission on Colleges may be contacted only if there is
evidence that Wayne Community College is significantly non-compliant with a requirement or standard. Accreditation standards are located at http://www.sacscoc.org/principles.asp. Inquiries about
Wayne Community College, such as admission requirements, financial aid, educational programs, etc. should be addressed directly to Wayne Community College and not the Commission’s office.
2020-2021
Consortium Agreement Request
THIS FORM IS DUE AT THE BEGINNING OF EACH SEMESTER
STUDENT NAME: ______________________________________________________ WCC ID: _____________________________
A consortium agreement is a written contract between two or more eligible schools that permits students to take courses at multiple
schools at the same time for the purpose of completing a degree. Under a consortium agreement, a student may take courses at a
school other than the “home” school and have those courses count towards the degree or certificate at the “home” school. A student
may receive federal financial aid only for courses that are applicable to the student’s degree or certificate program.
For the purpose of this agreement, Wayne Community College (WCC) is considered the HOME school and will grant the degree or
certificate upon completion of all required coursework. WCC is also the institution that will process, package, and disburse the financial
aid. The HOST school will be responsible for certifying the student’s enrollment status and the costs for tuition and fees.
INSTRUCTIONS: Complete each of the following steps. Incomplete forms or forms turned in without requested documentation will not
be processed.
This Consortium Agreement Request is for:
Fall 2020
Spring 2021
Summer 2021
A. Obtain a letter of Permission to Visit from the Office of Admissions and Records and
ATTACH a copy to this request.
B. Complete this Consortium Agreement Request, ATTACH all items requested in step C, sign, and submit the completed package to
the WCC Financial Aid Office at the beginning of the semester for which you are requesting the Consortium Agreement.
HOME SCHOOL
List the courses you plan to take at WCC this semester. **You must be enrolled at least half-time (6 credit hours) at
WCC to be considered for a Consortium Agreement.
1. ____________________________________
2. ____________________________________
3. ____________________________________
4. ____________________________________
HOST SCHOOL (Consortium Site)
Provide information about the host school and the courses you plan to take at this school this semester.
Name of College
Address
City, State, ZIP
Contact Person
C. ATTACH a copy of your course registration and proof of payment.
D. Upon completion of your course(s) at the host school, you must request an official transcript be sent to the Office of Admissions
and Records for academic credit towards your degree at WCC. **Courses taken at the host school will not be counted
towards your enrollment for Financial Aid purposes until the official transcript has been evaluated for credit by WCC’s
Office of Admissions and Records.
CERTIFICATION: I have read and understand it is my responsibility to provide the Financial Aid Office with all information
requested in Steps A - D of this form to receive payment of financial aid at WCC. I understand that failure to complete any of
the steps listed above may cause me to be ineligible for payment of financial aid funds.
_________________________________________________________________ ___________________________________
STUDENT SIGNATURE DATE
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signature
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