California State University, Chico
19-20
Consortium Agreement Request
RETURN TO: Student Ser vices Ctr. 250
Financial Aid and Scholarship Office
Chico, CA 95929-0705
Phone: 530-898-6451 Fax: 530-898-6883
Email: finaid@csuchico.edu
Website: www.csuchico.edu/fa
Facebook: www.facebook.com/ChicoStateFASO
Student Last Name: Student First Name:
Chico State ID: Phone:
Email:
Address:
Street City State Zip
Students who are enrolled in fewer than 12 units at CSU, Chico and are receiving a Federal Pell Grant may be
eligible to receive additional Federal Pell Grant for courses taken at another California college. In order to be
funded for coursework taken at an eligible California school, a consortium agreement form must be submitted
to our office no later than the fourth week of the semester. View our website: https://www.csuchico.edu/fa/
programs/consortium-agreements.shtml for a list of eligible schools. Students must be enrolled in a minimum
of 6 units at CSU, Chico to be eligible to participate in consortium classes.
Check here if you are revising a previous consortium agreement request.
I am enrolled in units at CSU, Chico for the (circle one) Fall / Spring semester for which I am requesting a
consortium agreement.
I am also enrolled at ________________________ College for the (circle one) Fall / Spring semester. I will
complete the following transferable coursework that applies to my degree at CSU, Chico:
Course # Course Title Units
Course # Course Title Units
Attach a copy of your enrollment form verifying that you have enrolled in the course(s) above. The Consortium
Agreement will not be processed without a copy of your enrollment form. Consortium Agreements will be processed in
order of receipt beginning the second week of the semester. Requests will NOT be accepted after the fourth week of
school. Notification of approval or denial will be sent to you.
After grades post for the above course(s), you are required to complete the following 3 steps in order to provide proof of
completion of coursework:
1) Submit an unofficial transcript to the CSU, Chico Financial Aid and Scholarship Office
2) Submit an official transcript to CSU, Chico Student Records and Registration Office
3) Notify the CSU, Chico Financial Aid and Scholarship Office once the units have been posted to your transcript
(this is viewable on your Student Center account).
I am aware that I may only receive financial aid through CSU, Chico. If consortium units are not completed at
another school, my aid may be reduced or held for not meeting CSU, Chico’s satisfactory academic progress
requirements.
Signature Date
ConsortiumReq20
Z20FCA or Z20SCA
(Fall) (Spring)
______________________________________________________________ _______________
_______
