Common use of CERTIFICATION OF AGREEMENT Clause in Contracts

CERTIFICATION OF AGREEMENT. On behalf of my institution, I understand and am in agreement with the terms and conditions of this consortium agreement for the student indicated on the reverse side of this form. Signature of Xxxxxx County Community College (Home) Signature of Host Institution Director of Financial Aid: Director of Financial Aid: Date: Date: Institution Name: Email address: To be completed by the Host Institution: Enrollment period dates: Start date End date Student is enrolled for credit hours Tuition and fees: $ Room and Board fees: $ Other Resources $ Please attach a copy of the student’s class schedule. A

CERTIFICATION OF AGREEMENT. On behalf of my institution, I understand and am in agreement with the terms and conditions of this consortium agreement for the student indicated on the reverse side of this form. Signature of Xxxxxx County Community College (Home) Signature of Host Institution Director of Financial Aid: Director of Financial Aid: Date: Date: Institution Name: Email address: To be completed by the Host Institution: Enrollment period dates: Start date End date Student is enrolled for credit hours Tuition and fees: $ Room and Board fees: $ Other Resources $ Please attach a copy of the student’s class schedule. Aan C

CERTIFICATION OF AGREEMENT. On behalf of my institution, I understand and am in agreement with the terms and conditions of this consortium agreement for the student indicated on the reverse side of this form. Signature of Xxxxxx Barton County Community College (Home) Signature of Host Institution Director of Financial Aid: Director of Financial Aid: Date: Date: Institution Name: Email address: To be completed by the Host Institution: Enrollment period dates: Start date End date Student is enrolled for credit hours Tuition and fees: $ Room and Board fees: $ Other Resources $ Please attach a copy of the student’s class schedule. A