Fillable Consortium- Agreement FB (Robeson Community College)

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Consortium- Agreement FB (Robeson Community College)

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The Consortium- Agreement FB (Robeson Community College) form is 4 pages long and contains:

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  • 5 check-boxes
  • 64 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Robeson Community College

BROWSE ROBESON COMMUNITY COLLEGE FORMS

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WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 4
FA20CCSA
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Financial Aid
Consortium
Agreement
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
What is a consortium agreement?
Consortium Agreements allow students to be considered enrolled at their home institution while taking coursework at
another (host) institution. The home school, Robeson Community College (RCC), is the institution granting the student’s
degree, diploma, or certificate. The host school is the institution that the student is “visiting” under this agreement. The
host school must be an approved Title IV school. The purpose of this agreement is to extend regular student status to RCC
students taking pre-approved coursework at the host institution.
Student Checklist:
Complete Section I of the agreement
Meet with your Academic Advisor to have Section II completed. Please make sure you meet the
following requirements:
• You are enrolled at RCC in an eligible program of study
• The courses approved to take at host school are required for your program of study
Meet with a representative of RCC ’s Financial Aid office to have Section III of this agreement reviewed
and signed.
RCC ’s Financial Aid Office will submit the consortium agreement to your Host School for authorized
signature(s). The host school faxes the completed form to RCC Financial Aid for processing.
After completing the consortium term, you must request an academic transcript from the host school to be
sent to the RCC Registrar’s Office. Please note Satisfactory Academic Progress could be impacted if the
transcript is not received or the courses are not successfully completed.
A consortium agreement will not be processed for any student who is in a “Suspended or Probationary”
Satisfactory Academic (SAP) status.
Enrollment Status: The student is responsible for informing the Financial Aid Office at RCC of their enrollment status
at both institutions. RCC will award the student financial aid based on the enrollment status as determined by combining
coursework to be taken at the host school and RCC. After classes begin, RCC will confirm actual enrollment and revise,
if necessary, financial aid awards to reflect the actual enrollment status. The host institution will provide RCC with
documentation supporting the students’ enrollment status. This documentation must include credit hours enrolled,
enrollment period beginning and ending dates, and list of specific courses the student is taking.
Disbursing and Distributing Aid: RCC will disburse Title IV Federal financial aid funds.
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 2 of 4
FA20CCSA
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Financial Aid
Consortium
Agreement
Consortium Agreement
Between
And
Robeson
Community College
(Home School)
___________________________
(Host School)
SECTION I: To be completed by the student
Name: _______________________________________ RCC Student ID: _____________
Home Address: ___________________________________Home Phone: ________________
City: _____________________State:__________ ZIP Code: ___________
Consortium Term: Fall_______ Spring_______ Summer _______ Academic Year: ______
Do you plan to register at RCC during the consortium term? Yes______/ No _______
If “Yes”: How many hours do you plan to take at RCC ? _______
Student Certification:
• Be enrolled in an eligible program at RCC .
• Provide a copy of my schedule from the Host Institution to RCC
• Provide a copy of payment receipt for tuition and fees at the Host Institution to RCC .
• Take courses at the Host Institution that are pre-approved by RCC which are transferable to my
eligible program of study at RCC .
• Submit an official academic transcript from Host School to RCC ’s Registrar’s Office within 30 days
after the term completion.
• Immediately notify RCC ’s Financial Aid Office of any change in enrollment status at the Host
Institution, including withdrawing from any or all courses.
• Authorize the Host School to release any information related to your enrollment and financial aid
eligibility.
• Maintain Satisfactory Academic Progress standards at both institutions.
I have read the above Student Certification and understand my rights and responsibilities
under this Consortium Agreement.
________________________________________________ ________________________
Student’s Signature Date
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WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 3 of 4
FA20CCSA
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Financial Aid
Consortium
Agreement
SECTION III:
To be completed by a RCC financial aid staff member.
My signature below affirms that I have gone over the terms of the consortium agreement with
Student Name: ____________________________________ RCC Student ID: ________________
The student meets the terms of this agreement and approved courses are required for student’s
program of study (degree audit).
_____________________________________ ________________
Financial Aid Staff Member Signature Date
PLEASE FAX OR MAIL THIS FORM TO HOST SCHOOL AND KEEP COPY FOR
OFFICE RECORDS
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WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 4 of 4
FA20CCSA
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Financial Aid
Consortium
Agreement
SECTION IV:
To be completed by the Host School’s Financial Aid Office
Student Name: _____________________________________ Host School Student ID: _____________
Enrollment Dates at Host School: ____________________to____________________
Enrollment Period: Fall _____ Spring _______ Summer _______
This agreement shall remain in effect during the enrollment period of this student or until
canceled in writing by either institution.
Please list below all courses that student plans to take at host school during the consortium agreement term and
the numbers of credit hours per course.
Course: ___________________________________ Credit Hours: ____________________
Course: ___________________________________ Credit Hours: ____________________
Course: ___________________________________ Credit Hours: ____________________
Total Credit Hours: ____________________
Cost of Attendance for enrollment period stated above:
As a representative of the host school you agree to:
• Confirm the student is in a transient/visiting status at your school taking courses that meet the Title IV, and
State financial aid requirements
• Not award any federal, state, institutional, or private aid during the time the student is enrolled at your school
• Notify RCC immediately and supply the effective date(s) if the student withdraws or drops any hours reported
in this agreement.
• Upon the student’s request, facilitate the release of an official academic transcript to RCC Registrar's Office
upon completion of the consortium term.
______________________________________ _________________________
Host Financial Aid Staff Member Signature Date
_______________________________________ ____________________________
Printed Name and Title Office Phone
Tuition: $____________________
Fees: $____________________
Transportation: $____________________
Books and Supplies: $____________________
Miscellaneous: $____________________
Total Cost of Attendance: $____________________
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Consortium- Agreement FB (Robeson Community College)

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Completed 3 February 2021

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