UCSC Student’s ID /Account
Number (Do not use CRUZ ID)
UCSC Student’s Last Name
First Name
FINANCIAL AID AND SCHOLARSHIP OFFICE
uc santa cruz
2020-21 Consortium Agreement Request
F1CONS
MUST BE COMPLETED BY UC SANTA CRUZ ACADEMIC PRECEPTOR:
Grade level _______________ Academic Standing _______________
This request has been approved (list special conditions, if any), and the courses listed above at the community college are transferable:
_________________________________________________________________________________________________________________
This request has been denied (please state reason):
_________________________________________________________________________________________________________________
Academic Preceptor ___________________________________ Extension_________ Date __________ College _________________
MUST BE SUBMITTED BY STUDENT
A copy of my unocial community college transcript must be submitted to the UCSC Financial Aid and Scholarship Oce. A hold may be
placed on future aid if this is not received.
Student signature: _______________________________________________________________________________ Date: _________________
Student E-mail: ______________________________________________________________________________________
MUST BE COMPLETED BY COMMUNITY COLLEGE FINANCIAL AID OFFICE:
I certify that the student named in Section I is not receiving federal nancial aid at our Community College.
Name (please print) _________________________________________________________ Title _____________________________
Signature ____________________________________Date__________________
RETURN TO: UC Santa Cruz Financial Aid and Scholarship Oce, 205 Hahn Student Services Building, 1156 High Street, Santa Cruz, CA 95064.
Phone: (831) 459-2963 Web: nancialaid.ucsc.edu. For your protection and security, please do not e-mail forms.
MUST BE COMPLETED BY STUDENT
I, (student name)__________________ __________________, authorize (please check box) Cabrillo DeAnza Monterey Peninsula
College to release this information to the UCSC Financial Aid & Scholarship Office. I plan to attend the designated college and enroll in the courses
listed below for the following semester:
Fall 2020
Spring 2021
Community College Course Enrollment
Course name
Course number Units
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
UCSC Course Enrollment
Course name Course number Units
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
College Seal __________________________
Section 1
Section 2
Section 4
Section 3
