Common use of Student Certification Clause in Contracts

Student Certification. Please certify that you have read and understand the statements below: I am enrolled in a degree program at MSU-Northern and have met with an Academic Advisor. I understand that I will receive financial aid from MSU-Northern and all financial aid records for this period will be maintained at the Financial Aid Office at MSU-Northern. I will notify the Financial Aid Office at MSU-Northern immediately of any changes in enrollment status at either institution. I will transfer credits taken at Host Institution to MSU-Northern within 15 days after the date the semester ends. I authorize the host and home institutions to release enrollment, financial, and academic information to the Financial Aid and Registrars’ Offices. This release also applies to other offices on a “need to know” basis. I certify that I have read and understand the procedures and requirements of the consortium agreement. I agree to comply with these procedures, and understand that noncompliance will result in a loss of financial aid. Student Signature: Date: TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S FINANCIAL AID OFFICE As the Host Institution, we will not provide financial assistance to this student. Financial Aid Director Signature Print Name Office Phone Fax Number College/University College Address Date TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S REGISTRAR’S OFFICE The above named student is registered at my institution for Semester. We agree to share information about the student’s enrollment as requested by the Financial Aid Office at Montana State University-Northern. Registrar’s Signature Print Name Office Phone Fax Number College/University College Address Date CONSORTIUM AGREEMENT PART II A consortium agreement enables the student to receive financial aid while concurrently enrolled for courses at MSU-Northern (home institution) and another institution (host institution). Eligibility for financial assistance is based on the total credits attempted at both institutions for the semester or term provided the course work is applicable to the students major. A new consortium agreement must be completed each semester Student ID: Name: Term: TO BE COMPLETED BY ACADEMIC ADVISOR AT MSU-NORTHERN Courses Accepted for Degree Program MSU-Northern Course and Prefix Number Course Titles Program Usage * Credits * (S) Substitution (E) Equivalent, (R)equired elective, (P)re-requisite (GE) General Education Category Requirement I have reviewed the course of study and the above courses will be acceptable for transfer and will count toward the student’s degree requirements at MSU-Northern (major, minor, electives or general education category requirement). Academic Advisor’s Signature Printed Name College/Department Office Phone Date Registrar will confirm general education credit transferability.

Student Certification. Please certify that you have read and understand the statements below: below by initialing the line beside each statement.‌ I am enrolled in a degree program at MSU-Northern and Montana State University. I have met with an Academic Advisorattached proof of my registration at the Host Institution. I understand that I will receive financial aid from MSU-Northern Montana State University and all financial aid records for this period will be maintained at the Office Of Financial Aid Office Services at MSU-NorthernMontana State University. I will notify the Office of Financial Aid Office Services at MSU-Northern immediately Montana State University within 10 days of any changes in enrollment status at either institution. I will transfer credits taken at Host Institution to MSU-Northern Montana State University within 15 days after the date the semester ends. I will be responsible for repayment of financial aid received based on this consortium agreement if credits are not transferred. I understand that I will not be eligible to receive financial aid for future periods of enrollment at Montana State University until repayment has been made. In addition, I authorize the host and home institutions institution to release enrollment, financial, and academic information to the Montana State University Office of Financial Aid and Registrars’ Offices. This release also applies to other offices on a “need to know” basis. I certify that I have read and understand the procedures and requirements of the consortium agreement. I agree to comply with these procedures, and understand that noncompliance will result in a loss of financial aidServices. Student Signature: Date: TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S FINANCIAL AID OFFICE As the Host Institution, we will not provide financial assistance to this student. Financial Aid Director Signature Print Name Office Phone Fax Number College/University College Address Date TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S REGISTRAR’S OFFICE The above named student is registered at my institution for Semester. We agree to share information about the student’s enrollment as requested by the Financial Aid Office at Montana State University-Northern. Registrar’s Signature Print Name Office Phone Fax Number College/University College Address Date CONSORTIUM AGREEMENT PART II A consortium agreement enables the student to receive financial aid while concurrently enrolled for courses at MSU-Northern (home institution) and another institution (host institution). Eligibility for financial assistance is based on the total credits attempted at both institutions for the semester or term provided the course work is applicable to the students major. A new consortium agreement must be completed each semester Student ID: Name: Term: TO BE COMPLETED BY ACADEMIC ADVISOR AT MSU-NORTHERN Courses Accepted for Degree Program MSU-Northern MONTANA STATE UNIVERSITY Course and Prefix Number Course Titles Program Usage * Credits * Anticipated Courses at Host Institution (SList courses titles below) Substitution (E) Equivalent, (R)equired elective, (P)re-requisite (GE) General Education Category Requirement Credit Hours I have reviewed the course of study and the above courses will be acceptable for transfer and will count toward the student’s degree requirements at MSU-Northern Montana State University (major, minor, electives or general education category requirementrequired electives). Academic Advisor’s Signature Printed Name College/Department Office Phone Date Registrar TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S FINANCIAL AID OFFICE The above named student is registered at my institution for Semester. As the Host Institution, we will confirm general education credit transferability.not provide financial assistance to this student. We agree to share information about the student’s enrollment as requested by the Office of Financial Aid Services at MSU. Financial Aid Director Signature Print Name Office Phone Fax Number

Student Certification. Please certify that you have read and understand the statements below: I am enrolled in a degree program at MSU-Northern and have met with an Academic Advisor. I understand that I will receive financial aid from MSU-Northern and all financial aid records for this period will be maintained at the Financial Aid Office at MSU-Northern. I will notify the Financial Aid Office at MSU-Northern immediately of any changes in enrollment status at either institution. I will transfer credits taken at Host Institution to MSU-Northern within 15 days after the date the semester ends. I authorize the host and home institutions to release enrollment, financial, and academic information to the Financial Aid and Registrars’ Offices. This release also applies to other offices on a “need to know” basis. I certify that I have read and understand the procedures and requirements of the consortium agreement. I agree to comply with these procedures, and understand that noncompliance will result in a loss of financial aid. Student Signature: Date: TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S FINANCIAL AID OFFICE As the Host Institution, we will not provide financial assistance to this student. Financial Aid Director Signature Print Name Office Phone Fax Number College/University College Address Date TO BE COMPLETED/SIGNED BY THE HOST INSTITUTION’S REGISTRAR’S OFFICE The above named student is registered at my institution for Semester. We agree to share information about the student’s enrollment as requested by the Financial Aid Office at Montana State University-Northern. Registrar’s Signature Print Name Office Phone Fax Number College/University College Address Date CONSORTIUM AGREEMENT PART II A consortium agreement enables the student to receive financial aid while concurrently enrolled for courses at MSU-Northern (home institution) and another institution (host institution). Eligibility for financial assistance is based on the total credits attempted at both institutions for the semester or term provided the course work is applicable to the students major. A new consortium agreement must be completed each semester Student ID: Name: Term: TO BE COMPLETED BY ACADEMIC ADVISOR AT MSU-NORTHERN Courses Accepted for Degree Program MSU-Northern Course and Prefix Number Course Titles Program Usage * Credits * (S) Substitution (E) Equivalent, (R)equired R) Required elective, (P)reP) Pre-requisite (GE) General Education Category Requirement I have reviewed the course of study and the above courses will be acceptable for transfer and will count toward the student’s degree requirements at MSU-Northern (major, minor, electives or general education category requirement). Academic Advisor’s Signature Printed Name College/Department Office Phone Date Registrar will confirm general education credit transferability.