Fillable FormCONSRT Financial Aid Form

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FormCONSRT Financial Aid Form

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ISU CONSORTIUM AGREEMENT
What is a Consortium Agreement?
A consortium agreement is an agreement between the student, degree-granting institution (Idaho
State University - ISU) and visiting institution to allow the financial aid office at the degree-granting
institution (ISU) to consider the credits at the visiting institution when processing financial aid.
- The home institution is the degree-granting institution (ISU).
- The visiting institution offers course work to degree-seeking students of the home institution.
- The student is defined as a degree-seeking student admitted and enrolled in at least one credit at
the home institution (ISU) but taking course work at the visiting institution under this agreement.
A student enrolled at the visiting institution is entitled to evaluation and receipt of all Title IV student
financial assistance from Idaho State University. Idaho State University agrees to determine eligibility
for and disburse student financial aid funds to the student. The student is then responsible for paying
all fees to the visiting institution and to Idaho State University.
IMPORTANT NOTES:
If the student will be enrolled full-time (12+ for undergraduates, 9+ for graduates) at ISU, there is
no benefit to completing a Consortium Agreement.
The student is eligible to receive Title IV financial assistance only from the degree-granting institution
(ISU).
DEADLINE TO SUBMIT COMPLETED CONSORTIUM: Census Day each semester (10
th
day in Fall
and Spring/5th Day in Summer).
Step by Step Instructions:
G Student must complete Section I of the Consortium Agreement form listing both Visiting
credits and ISU credits for the complete total of credits for the semester.
G ISU department advisor needs to sign that the credits are needed for your degree.
G Submit form to the Financial Aid Office at the Visiting Institution to complete Section II.
G The Visiting Institution will usually return the completed Consortium Agreement form to Idaho
State University Financial Aid Office, 921 S 8th Ave Stop 8077, Pocatello, ID 83209-8077, OR
FAX the form to (208) 282-4755, OR scan/upload the form to
https://www.isu.edu/financialaid/upload/.
G The Consortium Agreement is not complete until you provide a final official transcript to
the ISU Office of Registrar at the conclusion of the semester. Mail the transcript to the ISU
Office of Registrar, 921 S 8th Ave, Stop 8196, Pocatello, ID 83209-8196 or FAX it to
(208)282-4231 (FAX option is only available if the other institution is located in Idaho) or email
it to tceinfo@isu.edu. If pre-ordering transcripts be sure to indicate you want to wait for grades
to post before it is sent.
IMPORTANT: Inform the ISU Financial Aid Office if you change, withdraw, drop or cancel a
consortium class by submitting a revised version of this Consortium Agreement document.
FORM CONSRT - IDAHO STATE UNIVERSITY 19-20
CONSORTIUM AGREEMENT
A Consortium Agreement is an agreement between the student, the degree-granting
institution and the visiting institution to allow the financial aid office at the degree-
granting institution to consider the credits at the visiting institution when processing
financial aid. Please return completed forms to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Email: finaidem@isu.edu
Phone: (208)282-2756 Fax: (208)282-4755
CONSRT-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb)
Address:
*Required Street City St Zip
Section I. To be completed by ISU Student (NOTE: all blanks must be filled in. Please sign & date.)
Major Field of Study: Degree Objective: Grad Date:
Name of Visiting Institution:
Address of Visiting Institution:
Street City St Zip
Enrollment Period / Semester: (Check only one) Fall 2019 Spring 2020 Summer 2020
VISITING INSTITUTION courses: IDAHO STATE UNIVERSITY courses: (at least 1 credit)
Dept / Course Course Title Credits Dept / Course Course Title Credits
Example: ENG 1101 Example: English Composition Example: 3
ISU Academic Advisor Certification: Courses listed above taken at the visiting institution will satisfy requirements for the
student’s degree/major plan at Idaho State University.
ISU Advisor Signature: Date:
Student Certification: I understand that by signing this agreement, I am asking the home institution to pay Title IV financial assistance
to me for classes that I agree to complete at the visiting institution. I understand I am responsible for paying all fees to the visiting
institution. I understand it is my responsibility to provide a final official
transcript to the ISU Office of Registrar (see instruction
page) at the end of each enrollment period and inform the ISU Office of Financial Aid if I withdraw, drop or cancel a consortium
class. I understand that this consortium agreement will terminate immediately following the conclusion of the enrollment period
indicated above and that I will need to complete a new consortium agreement for each period of attendance at the visiting institution.
The person signing below certifies that all of the information reported is complete and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/06/2018) Page 1 of 2 (S:\20_Forms\formCONSRT.wpd)
Web: https://www.isu.edu/financialaid/forms/
Please fill in blanks, print, sign, attach docs & return
Press tab or shift-tab to move between fields
Format: mm/yyyy
Continue with Page 2 Below
ISU CONSORTIUM AGREEMENT
Student Name: Visiting Institution ID: ISU ID:
(NOTE: All information including signatures and dates on this page are required!)
Section II. To be completed by the visiting institution financial aid office.
The student submitting this form to you is requesting financial aid at Idaho State University under
a Consortium Agreement with your institution. Please provide the information requested below.
Is the above named student receiving Title IV financial assistance through your institution for the
enrollment period listed in Section I ? Yes No
Is the student currently registered for the classes listed in Section I ? Yes No
These classes begin on and end on
mm/dd/yyyy mm/dd/yyyy
The total cost for these classes is $
I certify that the information provided above is accurate.
I agree to notify the Office of Financial Aid at Idaho State University if this student withdraws from
any of these classes.
Financial Aid Office Representative:
Signature Print Name Date
Telephone Email Address
Section III. To be completed by the Office of Registrar at Idaho State University.
The courses listed in Section I which will be taken at the visiting institution may be accepted as
transfer credit at Idaho State University (note: may require petition).
Signature - Idaho State University Registrar Representative Date
Section IV. To be completed by the Office of Financial Aid, Idaho State University.
Idaho State University agrees to pay Title IV assistance based on the information provided in this
Consortium Agreement.
Signature - Financial Aid Representative, Idaho State University Date
(v. 12/06/2018) Page 2 of 2 (S:\20_Forms\formCONSRT.wpd)
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Completed 6 November 2019

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