Forms Consortium Agreement

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					                                                                                                      Office of Student Financial Aid

                                                                                                                        P.O. Box 183029
                                                                                                               Columbus, OH 43218-3029
                                                                                                          (614) 292-0300 | (800) 678-6440




                              Consortium Agreements at The Ohio State University



What is a consortium agreement?
A consortium agreement is a binding agreement between eligible institutions which enables you to receive aid from
your home institution while visiting another institution. There are 4 sections to the form, all of which need to be
completed in full before the form will be processed. Please use this helpful checklist to ensure your eligibility for this
agreement.



Student Checklist:

    □ Complete Section I of the agreement form.

    □ Contact your Academic Advisor/College Office to have Section II completed and to go over the terms of the
      agreement. Along with your advisor, please make sure you meet the following requirements:
          • You are enrolled in a degree-granting program at Ohio State during the consortium term
          • The courses you wish to take at another institution are not offered at Ohio State during the consortium
             term
          • You have successfully completed at least one term at Ohio State within the past 2 years
          • You are not completing your final quarter before graduation
          • If you have already completed a consortium agreement in your current degree-granting program, the
             following applies:
                  You cannot use a consortium for more than 3 terms in one degree-granting program
                  You must have successfully met the terms of your previous agreements, including providing an
                    official transcript to Ohio State. If you withdrew or dropped courses after the consortium was
                    approved, you are disqualified from future consortiums.

    □ Visit or call the Student Consolidated Services Center to have your form approved by a Student Services
      Specialist. (Section III)

    □ Contact your Host Institution’s Financial Aid Office to make arrangements to have Section IV completed.

    □ Return the completed form to the Student Financial Aid Office at Ohio State.

    □ Check with your Host Institution to find out when fees are due. If fees are due prior to the disbursement
      schedule at Ohio State, make arrangements to pay by their deadline.

    □ Once you have completed the consortium term, please provide an official transcript from your Host Institution
      to Ohio State Student Financial Aid Office.
                                                                                                                       Office of Student Financial Aid

                                                                                                                                         P.O. Box 183029
                                                                                                                                Columbus, OH 43218-3029
                                                                                                                           (614) 292-0300 | (800) 678-6440



                                                         Consortium Agreement
                                                                 Between
                 Ohio State University                             and
                      (Home School)                                                                    (Host School)

                                                 SECTION I: To be completed by the student.
Name:_________________________________________                         Social Security Number: xxx-xx- ________

Home Address:__________________________________                        OSU Student ID Number:__________________________

City:______________ State:______ ZIP Code:________                     Home Phone:____________________________________

Email Address:___________________________________                      Campus/Cell Phone:______________________________

Consortium Term:      ______ Summer ______ Autumn ______ Winter ______ Spring                                    Year:____________
Note: Students must apply for one term per consortium form. Multiple terms will not be considered.

Do you plan to register at Ohio State during the consortium term? (Please circle one)       Yes                No
  If “Yes”:
    •   How many hours do you plan to register for at OSU?       __________
    •   At which campus will you be enrolled?       ______ Columbus         ______ Regional

Statement of Authorization:
I agree to:
      • Submit this form to Ohio State and the host institution for completion by the first Friday of the consortium term (first Friday of
        classes at Ohio State)
      • Complete the hours indicated in Section III of this agreement form at the host institution and the hours listed above at Ohio
        State and notify Ohio State if the hours are changed or dropped
      • Comply with Ohio State’s and the host institution’s policies regarding refunds, Satisfactory Academic Progress, and all eligibility
        requirements; this includes not receiving aid from more than one institution during the term
      • Pay fees according to payment deadlines for each institution. (NOTE: Ohio State will disburse aid according to the Ohio State
        disbursement schedule. If fees are due at the host institution prior to the disbursement schedule at Ohio State, the student
        needs to make arrangements to pay by that deadline.)
      • Provide an official academic transcript upon completion of the consortium term.
      • Allow Ohio State and my host institution to share information relating to my enrollment and financial aid eligibility as well as for
        my host institution to provide the academic transcript.



                                Student Signature                                      Date

                        SECTION II: To be completed by the student’s academic advisor or college office.

Please list below all courses the student plans to take at the host institution during the consortium term and their Ohio State
equivalents. (Please list additional coursework on a separate sheet, if necessary.)

Course:__________________________________ Ohio State Equivalent:_____________________________

Course:__________________________________ Ohio State Equivalent:_____________________________

Please sign below verifying that the courses the student plans to complete during the consortium term will be accepted as part of the
student’s degree program at Ohio State. Your signature also confirms that the student is degree-seeking at Ohio State and that the
courses requested are not available at Ohio State. If the courses are available at Ohio State during the consortium term, please attach
a statement explaining why you are approving the student to take the course elsewhere.



                          Advisor/College Office Signature                                    Date



                          Advisor/College Office Printed Name                                 Phone Number




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         SECTION III: To be completed by a Student Services Specialist at the Student Consolidated Services Center
                                              or a financial aid staff member.
Please sign below verifying that the student has contacted the Student Consolidated Services Center to go over the terms of his/her
agreement and that to your knowledge, the student meets the terms of this agreement. (Please refer to the counselor checklist for
additional information.)



                                Student Services Specialist Signature                 Date

Attention Students: Please visit the Student Consolidated Services Center website at www.scsc.osu.edu for current phone and walk-
in hours. Regional campus or ATI students can contact a financial aid counselor at their campus of enrollment to obtain the signature
of an SFA staff person.

                              SECTION IV: To be completed by the Host School’s financial aid office.

Enrollment Dates at Host School: ________________ to ______________________

Enrollment Status while at Host School: ____ < ½ time ___ ½ time ___ > ½ time ___ full time

Please list below all courses the student plans to take at the host institution during the consortium term and the number of credit hours
per course. (Please list additional coursework on a separate sheet, if necessary.)

Course:__________________________ Credit Hours:_____________________ (circle: semester/quarter)

Course:__________________________ Credit Hours:_____________________ (circle: semester/quarter)

                                                   Total Credit Hours:_________________

Cost of Attendance for enrollment period stated above:
NOTE: Please use full-time amounts, regardless of student’s actual enrollment

 Tuition & Fees:           $_____________
 Room & Board:             $_____________
 Books & Supplies:         $_____________
 Transportation:           $_____________
 Other (Please specify)
 _________________         $_____________
 TOTAL                     $_____________

The host institution agrees to:
     • Confirm this student is in a transient/visiting status in an academic program that meets the Title IV student financial aid
       requirements
     • Not award any federal, state, or institutional, or private aid during the time the student is enrolled at the host institution
     • Accept payment from the student and apply it to fees and disburse any credit balance to the student in accordance with the host
       institution’s disbursement policies
     • Notify Ohio State of the date student withdraws or drops any hours reported on this form
     • Provide Ohio State with an academic transcript immediately upon completion of the consortium period, at the student’s request.
       (NOTE: The student’s signature in Section I of this agreement form authorizes the host institution to provide an official academic
       transcript to Ohio State.)




                          Signature                                                          Date



                          Printed Name & Title                                               Office Phone



                          Email Address                                                      Office Fax


          Completed forms can be mailed to the address indicated at the top of this form or faxed to (614) 292-7828.
                               Please send to the attention of the Consortium Processor.




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