Common use of Student Certification Clause in Contracts

Student Certification. You must read, complete, and sign this section. (1) I am a degree-seeking student at Indiana State University. (2) I will be taking credit hours at Indiana State University while concurrently taking credit hours at the HOST school. Host Course/ Number Equivalent ISU Course Number Credit hours Enrollment Start Date MM/DD/YY Enrollment End Date MM/DD/YY (3) I understand that Indiana State University will not apply aid to correspondence, independent study or non-credit bearing courses taken at another school. List here if any of the credit hours are correspondence courses: . (4) Without the transcript on record, aid for the subsequent term will not be disbursed. I understand that it is my responsibility to request the official transcript from the host school be sent to the Indiana State University Office of Admissions. (5) I understand that the transferred consortium credit hours will not reflect in my Indiana State University GPA, but that the consortium activity will be used to determine my Satisfactory Academic Progress (SAP) at ISU and will affect any Honors Program calculations. Failure to maintain SAP will result in the loss of financial aid eligibility. (6) I understand I am responsible for the payment of any and all educational costs incurred at the HOST school. (7) I understand that if I drop credit hours or withdraw completely from either Indiana State University or the HOST school during the term specified, I could be required to repay the financial aid (including student loans) disbursed through Indiana State University as a result of this consortium agreement. If this should occur, I understand I am financially responsible for the payment of any and all educational costs at ISU and/or the HOST school. (8) I understand that I will be notified via e-mail upon the completion and approval (or denial) of the Consortium Agreement. This is for a single term. (9) I understand that repeat coursework rules apply in the same manner as they would if I were taking a class through ISU. Student Signature (Required) Date For priority processing, submit ALL required documents by: After these dates, you should be prepared to make payment arrangements with the Bursar’s Office.

Student Certification. You By signing this agreement, I understand that: ✓ I must readcomplete the financial aid application process at my HOME institution including submitting ALL other documentation and other information requested BEFORE this consortium can be approved; ✓ I agree to allow the institutions indicated above to share information about me regarding registration, completetranscripts, and sign financial aid; ✓ I must be enrolled in at least three (3) credits at the HOME institution to be eligible to participate in this section. (1) consortium; ✓ I am a degree-seeking student bound by the financial aid deadlines and financial aid census date at Indiana State University. (2) the HOME institution, and I will be taking credit hours at Indiana State University while concurrently taking credit hours am responsible for knowing these dates and deadlines; ✓ Courses taken at the HOST schoolinstitution(s) must apply towards my stated degree intent at my HOME institution; ✓ A consortium agreement may be used for a degree program up to and including a first bachelor degree. Host Course/ Number Equivalent ISU Course Number Credit hours Enrollment Start Date MM/DD/YY Enrollment End Date MM/DD/YY (3) Any coursework for a degree beyond my first bachelors is ineligible to be included in a consortium agreement. ✓ Remedial courses taken at the HOST institution cannot be included in a consortium agreement; ✓ My eligibility for federal financial aid at my HOME institution is based on the approved courses for this agreement, and these courses will not count towards determining institutional aid eligibility; ✓ I agree to IMMEDIATELY inform the financial aid office at the HOME institution of ANY change in enrollment at my HOST institution, as my eligibility for federal financial aid may be impacted and I may owe a repayment of previously disbursed financial aid; ✓ If I drop all my classes or completely withdraw, I understand that Indiana State University will not apply I may be required to repay financial aid balances to both the HOME and the HOST institutions; ✓ I am only eligible to receive federal financial aid from the HOME institution; ✓ I am asking the HOME institution to pay federal financial aid to correspondence, independent study or non-credit bearing me for courses taken that I agree to complete at another schoolboth the HOME and HOST institution(s); ✓ Financial aid will be disbursed to my student account at the HOME institution. List here if any of the credit hours are correspondence courses: . (4) Without the transcript on record, aid for the subsequent term will not be disbursed. I understand that it It is my responsibility to request pay any remaining charges at the official transcript HOME institution AND to make tuition and fee payment at the HOST institution; ✓ I am required to notify the HOME institution of any other sources of financial assistance (scholarships, tuition waivers, etc.) I am receiving from the host school be sent to the Indiana State University Office of Admissions. (5) HOST institution; ✓ I understand that the transferred consortium credit hours will not reflect in satisfactory academic progress standards at my Indiana State University GPA, but that the consortium activity HOME institution will be used to determine when determining my Satisfactory Academic Progress (SAP) at ISU initial and will affect any Honors Program calculationscontinued eligibility for federal financial aid. Failure to maintain SAP will result in the loss of financial aid eligibility. (6) I understand I am responsible for the payment of any and all educational costs incurred at the HOST school. (7) I understand that if I drop credit hours or withdraw completely from either Indiana If Boise State University or the HOST school during the term specifiedis my HOME institution, I could must be required in good academic standing to repay the financial aid (including student loans) disbursed through Indiana State University as participate in a result of this consortium agreement. If this should occurI cannot be on SAP warning, I understand I am financially responsible for the payment of any and all educational costs at ISU and/or the HOST school. (8) I understand that I will be notified via e-mail upon the completion and approval (probation, or denial) of the Consortium Agreementon an academic plan. This is for a single term. (9) I understand that repeat coursework rules apply in the same manner as they would if I were taking a class through ISU. Student Signature (Required) Date For priority processing, submit ALL required documents by: After these dates, you should be prepared to make payment arrangements with the Bursar’s Office.STUDENT SIGNATURE DATE

Student Certification. You must readThe student certifies that all reported information is correct and agrees to transfer the courses covered by this Consortium Agreement to National Louis University and understands that he/she may not receive aid disbursements for subsequent terms until the courses have been transferred. Student’s Signature: Date: The student has requested financial assistance at National Louis University. We will confirm that the student is enrolled in an eligible program of study, completedetermine eligibility for aid, disburse funds, and sign this section. (1) I am a degree-seeking student at Indiana State University. (2) I will be taking credit hours at Indiana State University while concurrently taking credit hours at responsible for compliance with established policies, including the HOST school. Host Course/ Number Equivalent ISU Course Number Credit hours Enrollment Start Date MM/DD/YY Enrollment End Date MM/DD/YY (3) I understand that Indiana State University will not apply aid to correspondenceresponsibility for determining satisfactory academic progress, independent study or non-credit bearing courses taken at another school. List here if any of the credit hours are correspondence courses: . (4) Without the transcript on record, aid for the subsequent term will not be disbursed. I understand that it is my responsibility to request the official transcript and refunds and/or repayments resulting from the host school be sent student's withdrawal from classes. The Host School agrees to provide National Louis University with the cost of attendance, to verify the student's enrollment, to inform NLU of any change in enrollment status including student’s failure to attend or student withdraws, prior to the Indiana State University Office of Admissions. (5end term date for any course(s) I understand that the transferred consortium credit hours will not reflect in my Indiana State University GPA, but that the consortium activity will be used to determine my Satisfactory Academic Progress (SAP) at ISU and will affect any Honors Program calculations. Failure to maintain SAP will result in the loss of financial aid eligibility. (6) I understand I am responsible for the payment of any and all educational costs incurred at the HOST school. (7) I understand that if I drop credit hours or withdraw completely from either Indiana State University or the HOST school during the term specified, I could be required to repay the financial aid (including student loans) disbursed through Indiana State University as a result of covered by this consortium agreement. If this should occur, I understand I am financially responsible The Financial Aid Office at the Host School agrees not to process aid for the payment above student during the term covered by this consortium agreement. The contents of any this agreement are effective for the term specified above, and all educational costs are set forth to comply with Federal regulations. Term System: ❑ Quarters ❑ Semesters Term Begin Date: Term End Date: Number of Credits Enrolled (must be transferable to NLU): Tuition $ Transportation $ Mandatory Fees $ Miscellaneous $ Room and Board $ Other, please specify: $ Books and Supplies $ Total Costs of Attendance Institutional Grant/Scholarship/Gift Aid Awarded $ Institutional Loan Assistance Offered $ Print Name Title Signature Phone Number if student is undergraduate) and returned to NLU’s Office of Student Finance by email to xxxxxxxxxxxxxx@xx.xxx. Student’s Last Name First Name Social Security # Program NLU Student ID# NLU Campus List Courses Taken: ❑ Summer 2022 ❑ Fall 2022 ❑ Winter 2023 ❑ Spring 2023 The below listed course(s) taken / at ISU and/or the HOST school. (8) I understand that I will be notified via e-mail upon the completion and approval (or denial) TERM YEAR Name of the Consortium Agreement. This is Host School are approved for a single term. (9) I understand that repeat coursework rules apply in the same manner transfer as they would if I were taking a class through ISU. Student follows: Signature (Required) Date For priority processing, submit ALL required documents by: After these dates, you should be prepared to make payment arrangements with the Bursar’s Office.of Credentials Evaluator Date