UHV Advisor's Signature:
UHV Advisor's Printed Name:
2021 - 2022 CONSORTIUM AGREEMENT
Office of Financial Aid
Fax: 361-580-5555; Phone: 361-570-4125
THIS FORM MUST BE SIGNED BY YOUR ACADEMIC ADVISOR BEFORE SUBMITTING.
Deadlines: Fall - November 13, 2020; Spring - February 28, 2021; Summer - July 1, 2021.
UHV ID#
Complete a separate form for multiple schools and one for each semester of co-enrollment.
The University of Houston-Victoria (UHV) and the school named above are herein entering into
a consortium agreement for:
Student Name Telephone Number Student ID # from Consortium School
NOTE: This form
must be completed for each term you are co-enrolled and must be accompanied by a paid fee receipt/payment plan & class schedule indicating
the courses being taken at the participating consortium partner.
Your major:
Indicate the semester in which you are using this form:
Fall 2021 Spring 2022 Summer Session 1 Summer Session 2 Summer 10 Week Session
STUDENT CRITERIA & INSTRUCTIONS
The student must:
1. Take courses at the Host School that are transferable to their degree or certificate program at UHV or be enrolled i
n a remedial course(s) that increases
the student’s ability to pursue his/her program of study. NOTE: Virtual College of Texas (VCT) courses that are not offered on-site by the host institution,
(i.e., Victoria College, HCC, etc.) are not eligible and will not be counted in the student’s enrollment status regardless of their transferability to the student's
degree or program.
2. Be enrolled in a degree-granting program at UHV making satisfactory academic progress as specified by the UHV Satisfactory Academic Progress policy.
3. Submit all aid forms pertinent to determining eligibility for aid awards for the appropriate academic period, including PAID FEE RECEIPT/PAYMENT PLAN
AND CLASS SCHEDULE from the participating Host Institution for the correct term in which the Consortium Agreement is being requested. Failure to
furnish an up to date paid fee receipt & class schedule will cause a delay in the readjustment in your hours and financial aid.
NOTE: Class Schedule needs to have start/end dates.
4. Make independent arrangements for payment of enrollment expenses at the Host Institution without reliance on emergency student loans or other forms of
financial assistance from UHV (Financial aid cannot be disbursed until actual enrollment at UHV and enrollment at Host Institution is verified). UHV does
not pay your tuition at the host institution.
5. CANNOT be receiving financial aid at the Host School. Must be enrolled at least half time at UHV in order to receive TPEG & TOG.
By s
igning this Consortium Agreement you agree to allow the Host Institution indicated above to provide the UH-Victoria Office of Admissions and Records with
an Academic Transcript at the end of each term for which this Agreement is submitted. Also you agree to the terms and requirements set forth in Section 1,
Student Criteria and Instructions.
Student Signature: Date:
To Be Filled Out By Student
Please list below the course(s) you are taking at the Host School that are
applicable to your program at UHV. These courses must correspond exactly
with those listed on your Class Schedule.
Note: A new form must be submitted should your courses change.
Do NOT List Virtual College of Texas (VCT) courses
Administrative Use
The above named student has permission to study at the above campus for
the "enrollment period" stated. As indicated the student's satisfactorily
completed course credits will be transferred back to the University of Houston-
Victoria.
Note: Remedial courses have been designed to increase the student’s ability
to pursue their program of study and will be included.
Course Hours Description
Transfer toward
degree program
Remedial
Not necessary for
degree program
Date:
This Consortium Agreement is between UHV and
Austin Community College
Coastal Bend Community College
Lone Star College System
Victoria College
UH-Clear Lake
UH-Downtown
Houston Community College
Wharton County Junior College
UH-Main
