1. education
2. school

CONSORTIUM AGREEMENT
BETWEEN
Concordia University Saint Paul (00234700)
and
(Home School)
(Host School)
Concordia University and the Host-School listed above are hereby entering into a Consortium Agreement as
outlined below:
Section I – To be Completed by the Student
Name:
Concordia ID # :L00
Telephone Number:
E-mail Address:
Cell Number:
Permanent Address:
Consortium Period (select one
Semester per application ONLY:
Temporary Address (if applicable):

Fall

Spring

Summer
Under this consortium agreement, the student agrees to:
1.
Be actively enrolled in a degree, certificate, or other recognized credential program at the Home-School [CSP] at the time
of making application for the Consortium Agreement.
2.
Submit initial application for consideration of this Consortium Agreement on/before the posted census date of the term as
referenced above at Concordia University {ie. Fall, Spring OR Summer}.
3.
Maintain Satisfactory Academic Progress [SAP] as outlined by CSP and the U.S. Department of Higher of Education at
both the Home and Host- School.
4.
Take courses at the Host-School that are transferable to the identified degree, certificate, or recognized credential as
certified by the Home School Academic Advisor at Concordia University.
5.
Notify the Home-School Financial Aid Office within two (2) business days if (s)he does not begin attendance in the courses
listed and approved per the Consortium Agreement.
6.
Refuse application and/or acceptance Financial Aid at the Host-School during the Consortium Agreement term.
7.
Inform the Home-School [CSP] and the Host-School of any change(s) in enrollment status including (but not limited to):
Adding and/or dropping class(es), withdrawing, and/or substituting course(s) previously approved by the certifying
Academic Advisor at CSP.
8.
Provide the CSP with an academic transcript from the Host-School within fourteen (14) calendar days upon completion of
the consortium period and/or academic term.
9.
File a FAFSA annually and complete the required financial aid process (es) at CSP prior to all applicable deadlines,
identifying CSP as the designated Home School [school code 002347] on the FAFSA.
10. Pay tuition, fees, and other educational expenses as charged by the Home and/or Host School on/prior to all posted duedates as outlined by each college. (CSP will not send a check to the identified Host-School. It is the responsibility of the
student to pay the Host-School for all incurred costs).
11. Return this form to CSP with a copy of the bill/financial statement from the Bursar at the identified Host-School.
*Failure to meet qualification standards as reference above may lead to immediate termination of financial aid eligibility at CSP.
**Student in traditional undergraduate programs must be taking at least 12 credits at CSP to be eligible for institutional
grants/scholarships.
** Graduate Students are not eligible for Consortium Agreement consideration at CSP.
Student’s Signature:
Date:
Section II– To be completed by the Host-School Financial Aid Office
Enrollment period dates: From:
to:
Tuition & fees:
$
Room & board:
$
Books & supplies:
$
Transportation:
$
Misc. personal expenses:
$
Other (specify):
$
Number of Credits: ________
Term (ie. 201510): _________
Under this consortium agreement, the Host-School:
1.
2.
3.
4.
5.
Certifies that Financial Aid via FAFSA will not be processed and/or disbursed for the student listed on this CA contract for
the term identified.
Will make available applicable student consumer information required under Title IV.
Will provide the Home School with documentation of the student’s enrollment at the Host School.
Agrees to notify Concordia University if the student fails to enroll in, or withdraws from, the Host School (to include the
withdrawal date and other relevant information).
Will provide the Home School with a Host School academic transcript upon completion of the consortium period per this
CA contract.
Host School Financial Aid Officer’s Signature:
Printed Name:
Title:
Name of College/Address:
Date:
E-mail Address:
Telephone:
Section III – To be completed by the student’s Home School [CSP] Academic Advisor
Term of Consortium Agreement as identified above (ie: 201510):
Number of credit hours the student is taking at the Host School:
Host-School credits are based on (circle one):
Quarter
Number of credit hours the student is taking at CSP:
Student’s TOTAL enrollment
status per CA
[CSP + Host-School]: _________

Full time
(12+
credits)

_________________________________
_________________________________
Semester
Clock
_________________________________
Three-quarter time

(9-11 credits)
Half time
(6-8 credits)

Trimester
Less than half
time
(1-5 credits)
List the course(s) that the student is taking at the Host School which are applicable to his or her academic program at the
Home School (attach a second page if needed):
Under this consortium agreement, the Home-School [CSP] Academic Advisor agrees:
1.
2.
3.
4.
5.
That the student is enrolled in a degree, certificate, or recognized credential at the CSP for the term/year identified in this
Consortium Agreement application.
To accept the course work listed above as transferrable toward the completion of the student’s degree, certificate, or other
recognized credential requirements at CSP.
To forward this form to the Financial Aid Office upon completion for consideration/processing of Title IV funding.
To confirm enrollment after posted census at the identified Host-School.
Collect and review transcript data from the Host-School at term end to ensure SAP standards have been achieved.
Academic Advisor’s Signature:
Printed Name:
Academic Department:
Date:
E-mail Address:
Telephone:
Section IV – To be completed by the Home- School Financial Aid Officer
Under this consortium agreement, the Home-School FAO agrees:
1.
To process the student’s Title IV financial aid application and provide payment of Title IV funds (if eligible) as appropriate
for the consortium period.
2.
To make available applicable student consumer information required under Title IV.
3.
To verify/certify that the student is making satisfactory academic progress [SAP} toward the completion of his or her
degree, certificate, or recognized credential as outlined by the U.S. Department of Higher Education and Institutional
Policy Standards
4.
To conduct Enrollment Reporting to the National Student Loan Data System (NSLDS) in conjunction with the Registrar’s
Office.
5.
To calculate returns of Title IV funds, when appropriate.
6.
To maintain Title IV recordkeeping and reporting requirements.
Home School Financial Aid Officer’s Signature:
Printed Name:
Date:
E-mail Address:
Telephone:
Comments:
STUDENT, please return
this form with supporting
documentation to:
Concordia University
1282 Concordia Avenue
St. Paul, MN 55104
*before mailing, please make a copy of all forms for your own records**