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The Consorum Agreement allows a student to receive (Concordia College - St. Paul)

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The Consorum Agreement allows a student to receive financial aid at Concordia University, St. Paul (Home School) for coursework taken at another
regionally accredited higher educaon instuon (Host School).
STUDENT INFORMATION
Last Name
First Name
Middle I.
CSP Student ID:
L00
Permanent Address
City
State
Zip Code
Phone Number
Term you are beginning (check one):
Fall Year: ________ Spring Year: ________ Summer Year:________
Cerficaon: By signing below, I cerfy that the submied informaon is true and correct to the best of my knowledge and belief. If asked by an
authorized official, I agree to provide addional proof of the informaon provided on this form. I understand that purposely providing false or
misleading informaon this form may result in reducon or repayment of aid.
Student’s Signature______________________________________________________________________________Date form signed__________________________
SUBMISSION DEADLINE : DUE on/before the last day to drop courses for the term you are using consorum. A new form is
required for each term a student uses consorum.
INSTRUCTIONS:
First, complete the Student Informaon and Signature (above), next complete the courses of study at the host instuon (secon A) with your
advisor/enrollment counselor. Return this form, along with an invoice of charges from your host instuon to finaid@csp.edu.
To be eligible for consortium a student must:
Be accepted and acvely enrolled in an undergraduate degree, cerficate or other credenal program at CSP ( minimum 6 credits are required to be
considered for a Consorum Agreement) at the me of subming this form. Maintain Sasfactory Academic Progress [SAP] at both host school and
CSP. Nofy CSP’s Financial Aid Office & Registrar within 2 days of any academic course changes per the agreement i.e. drop, add or withdrawing.
SECTION A: COURSE OF STUDY AT HOST INSTITUTION – COURSE EQUIVALENCY COMPLETED BY ACADEMIC ADVISOR
(ATTACH ADDITIONAL PAGES IF NECESSARY) The coursework must be applicable to a student’s enrolled program of study at CSP.
Course Prefix & Number
Course Title
Credit Hours
Course Equivalency – Advisor Complete
1.
2.
3.
4.
ACADEMIC ADVISOR CERTIFICATION (COMPLETED BY YOUR CSP ACADEMIC ADVISOR)
Cerficaon: I have reviewed the course(s)of study listed and confirmed that the HOST instuon courses are required, acceptable for transfer, will
be applied toward the student’s program (pending grading requirements for transfer) and all other university requirements have been sasfied.
CSP Academic Advisor Full Name
Student Major Program of Study
Phone Number
Date
SECTION B: HOST INSTITUTION CERTIFICATION (COMPLETED BY THE HOST INSTITUTION’S FINANCIAL AID OFFICE
STUDENTS DO NOT COMPLETE)
Cerficaon: I have reviewed the course of study of the student listed in Secon B above and confirmed enrollment at the instuon menoned
above. As the host instuon, we will not process this student for financial assistance , all records will be kept at Concordia University and we agree
to share informaon about this student’s enrollment as requested by the CSP Financial Aid office under Title IV.
Number of Enrolled Credits
Tuion & Fees
$
Semester & Academic Year
Name of Instuon (city & state)
Financial Aid Office Staff’s Full Name
Email Address
Direct Office Phone Number
Financial Aid Office Staff’s Signature
Date
CSP Office of Financial Aid | p. 651-603-6300- | f. 651-603-6298 | finaid@csp.edu
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The Consorum Agreement allows a student to receive (Concordia College - St. Paul)

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Completed 22 July 2020

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