Completed by the Student Clause Samples
Completed by the Student. Name: _ T# Name of the Host Institution: Host Institution Student Identification: What semester are you taking the following course(s)?: Fall Spring Summer Course # Course Title # of Credit Hours By signing below, I acknowledge the above courses are required courses for the completion of my credential/degree at Terra State Community College (TSCC). I understand TSCC will administer all my Federal student financial aid for the term. I understand that TSCC will not pay for costs incurred at the Host institution and it is my responsibility to make payment arrangements with the institution. I give my permission for either TSCC or the Host institution to release information to the other institution about my grades/attendance or other information necessary for the administration of student financial aid. I agree to notify TSCC if I stop attending or have a change in enrollment from any of the classes listed above. Student Signature: Date:
Completed by the Student. Name: ID #:
Completed by the Student. I hereby authorize Noteworthy Music to charge the fees for any outstanding lesson payments on the 5th of the respective month to my credit card on file. I understand that it is my responsibility to notify Noteworthy Music in the event that I am presented a new card, or if any other changes to the account will affect a timely payment. I also have read and agree to the processes, terms, and conditions listed above.