Office of Student Financial Aid
127 W.D. Funkhouser Building
Lexington, KY 40506-0032
859-257-3172
www.uky.edu/financialaid
Consortium Agreement
University of Kentucky and ___________________________________________
(Home School) (Host School)
Section I
N
ame:_______________________________________ UK Student ID Number:______________________________
Telephone Number: _________________________ Email Address:_________________________________________
P
ermanent Address: ____________________________ City: _________________ State: ____ Zip Code: ________
Consortium Period: Summer - 20____ (1
st
session or 2
nd
session) Fall - 20____ Spring - 20_______
Under this consortium agreement, the student will:
1. Be enrolled in a degree, certificate, or other recognized credential program at the Home School.
2. Maintain satisfactory academic progress.
3. Take courses at the Host School, which are transferable to his or her University of Kentucky degree, certificate, or recognized credential as
certified by his or her Home School academic advisor.
4. Notify the University of Kentucky financial aid office if he or she does not begin attendance in the courses listed and approved in this
consortium agreement.
5. Immediately inform the University of Kentucky and Host School of any change in enrollment status, including withdrawing from all
courses or substitution of approved courses.
6. Ensure that the Host School provides the University of Kentucky with a Host School academic transcript upon completion of the
consortium period.
7. File a FAFSA and complete the required financial aid process prior to all applicable deadlines.
8. Pay tuition, fees, and other expenses as charged by the University of Kentucky and/or Host School.
List course(s) that you will be taking at the Host School which are applicable to your academic program at the University
of Kentucky:
Course # Course Title Credits __ | Course # Course Title _________Credits_______
__________________________________________|_____________________________________________________
__________________________________________|_____________________________________________________
Student’s Signature: _______________________________________ Date:_____________
Section II
AUTHORIZED OFFICIAL: (To be completed by UK Academic Advisor, Dean or Assistant Dean.)
A
s an authorized official, I certify that the courses listed on this form are applicable to the student’s University of Kentucky degree.
____
______________________________________ _____________________________ _____________________
Authorized Official’s Name (PLEASE PRINT) College Phone
____
______________________________________ _____________________________ _____________________
Authorized Official’s Signature Title Date
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Section III
Under this consortium agreement, the Host School (Name): ________________________________
Certifies the number of credit hours the student is taking: _______ Cost per hour $ __________
Student’s enrollment status while at the Host School: Full Time Three-quarter time Half Time Less than half time
Course # Course Title Credits __ | Course # Course Title _________Credits_______
__________________________________________|_____________________________________________________
__________________________________________|_____________________________________________________
Enrollment period dates: __________________________ to _____________________________
Will the student receive any financial aid at your institution? Yes No
T
ype and amount of funding from Host School: ______________________ $_______________
______________________ $_______________
Full time budget at the Host school:
T
uition and Fees: $________________ Books and Supplies: $___________________
Room and Board: $________________ Transportation: $___________________
Under t
his consortium agreement, the Host School:
1. Certifies that the student listed has been accepted for enrollment in an academic program that meets the Title IV student financial aid
eligibility requirements.
2. Will provide the University of Kentucky with documentation of the student’s enrollment.
3. Agrees to notify the University of Kentucky if the student fails to enroll in, or withdraw from, the Host School (to include the withdrawal
date and other relevant information).
4. Will provide the University of Kentucky with an academic transcript upon completion of consortium period when requested by the student.
5. Our institution is approved by the Department of Education to participate in Title IV programs.
Host School Financial Aid Officer’s Signature: _____________________________________ Date: _______________
Printed Name: _________________________________ Title: ___________________________ Title IV school code: ___________
E-mail Address: ________________________________ Telephone: __________________________
Section IV
Under this consortium agreement, the University of Kentucky:
1. Agrees to process the student’s Title IV financial aid application and provide payment of Title IV funds (if eligible) as appropriate for the
consortium period.
2. Will make available applicable student consumer information required under Title IV.
3. Certifies that the student is making satisfactory academic progress toward the completion of his or her degree, certificate, or recognized
credential at the University of Kentucky.
4. Will calculate returns of Title IV funds, when appropriate.
5. Will maintain Title IV record keeping and reporting requirements.
6. Certifies that the student is enrolled in a degree, certificate, or recognized credential at the University of Kentucky.
7. Agrees to accept the course work listed above toward the completion of the student’s degree, certificate, or other recognized credential
requirements.
University of Kentucky Financial Aid Officer’s Signature: ___________________________________
Printed Name:________________________________________ Date: _________________________
E-mail Address: ____________________________
Telephone: (859) 257-3172 Fax number: (859) 257-4398
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