TO BE COMPLETED BY THE STUDENT. Name SSN Home Address Address while enrolled at visited school City ST Zip Phone ( ) City ST Zip E-mail @ Phone ( ) Check: Study Abroad Attending non-U.S. school; not utilizing a Title IV-eligible school or program Circle One* Home/Degree Granting Institution University of Cincinnati (UC) Aid? Y N Host/Visited Institution Aid? Y N Period of Attendance to *I realize I can only receive Title IV aid from UC and that I am responsible for any fees at all institutions not covered by my fnancial aid. It is my responsibility as the student to ensure that my aid is in order prior to billing due dates if I expect aid to cover all or part of my fees. Further, I understand I must comply with all home and host institutions’ academic and fnancial policies to include submission of ofcial academic transcripts for the period of attendance. Failure to provide transcripts will limit aid eligibility for future terms. Signature Date Tis agreement should be completed by the student, academic advisor and host institution before being submitted to home institution.
TO BE COMPLETED BY THE STUDENT. I have read the Albemarle County Public Schools Student Laptop Agreement Form, and understand and agree to abide by its requirements in all respects. I have read the Acceptable/Responsible Use Policy, and understand and agree to abide by its requirements in all respects. Should I violate any aspect of either agreement, I shall accept and be subject to all ramifications, including but not limited to access and other privileges and other disciplinary actions. _ Student Name Student Signature Date II. TO BE COMPLETED BY PARENT/LEGAL GUARDIAN I request that my child be issued the equipment described below (laptop) for use outside of the classroom and school. I understand and agree that if the laptop is lost, stolen, confiscated by law enforcement, or damaged beyond repair intentionally or due to negligence, I will be held responsible for paying the full replacement cost up to $600.00 for its replacement as provided by the School Board ECAB. NOTE: Your signature on this acknowledgement is binding and establishes that you understand the terms and conditions of this agreement and the Acceptable/Responsible use Policy and their significance. Albemarle County Public School Board Policies IIBE, Acceptable/Responsible use of Technology; JFC, Student Conduct; and, ECAB, Vandalism, may be obtained at xxxx://xxx.x00xxxxxxxxx.xxx _ Parent/Legal Guardian Name Parent/Legal Guardian Signature Date III. TO BE COMPLETED BY ACPS STAFF
TO BE COMPLETED BY THE STUDENT. This agreement is entered into between Ave Xxxxx University (AMU) and (the host school) for the benefit of: Student Name: Telephone #: Email Address: Student Signature: Date: Under the consortium agreement, the student will: Be enrolled in a degree, certificate, or other recognized credential program at AMU Maintain satisfactory academic progress. Take courses at the host school which are transferable to his or her degree as certified by the AMU Registrar office. Ensure that the host school provides AMU with an academic transcript upon completion of the consortium period. Pay tuition, fees, and other expenses as charged by AMU and/or the host School Spring Fall Summer Consortium Period:
TO BE COMPLETED BY THE STUDENT. This agreement is entered into by and between NewSchool of Architecture and Design (the home school) and _ (the host/consortium school) for the benefit of: Student Name: Social Security Number: Home Address:
TO BE COMPLETED BY THE STUDENT. Term: Fall Spring Summer Under this consortium agreement, I the student, agree to:
TO BE COMPLETED BY THE STUDENT. 1. I understand that I am required to undertake work-integrated learning as a compulsory component in years 2,3 and 4.
TO BE COMPLETED BY THE STUDENT. The following information must be completed to confirm that the credits you are taking at your Host School will be accepted toward completion of your Xxxxx State University Law degree. Student Name: Student ID #: Host School: School City: State: Academic Period: Total Number of Credits: List the courses you will be registered for at the Host School or attach a copy of your registration form. Course Number Course Title Credits
TO BE COMPLETED BY THE STUDENT. I have read this Testing Accommodations Agreement and fully understand what my responsibilities are for each examination. I understand that my failure to comply with this agreement will result in ineligibility for testing accommodations. Furthermore, I also agree to uphold Illinois Institute of Technology’s policy on academic integrity. Name of Student (Please print) Signature of Student Date Send Form To: IIT Center for Disability Resources, 0000 X. Xxxxxxxx Street - LS 252 Chicago, Illinois 60616, xxxxxxxxxxxx@xxx.xxx
TO BE COMPLETED BY THE STUDENT. I have read this Testing Accommodations Agreement and fully understand what my responsibilities are for each examination. Furthermore, I also agree to uphold BMCC’s policy on academic integrity. _____________________________________________________________________________________ Name of Student (Please print) ___________________________________________________________ ___________________________________
TO BE COMPLETED BY THE STUDENT. Signature of Student: Name of Student (Print): Social Security Number: Semester(s) Abroad or Visiting: Host Institution/Program: SECTION 1B – To be completed if coursework will be completed over the summer: *Please Note: Siena College grants/scholarships are not available during summer session. If you wish to use any of the following sources of aid during the summer session, please indicate below (check all that apply). Direct Subsidized/Unsubsidized Xxxxxxxx** Federal Pell Grant I will be using a private loan I do not wish to use any of the above **Students using Direct Xxxxxxxx loans during the summer session will reduce funding available from these resources during the fall and spring semesters. Siena College will not replace these funds should instances as this occur.** During the summer session you will live: (check one) On-Campus With Parents Off-Campus (not with parents) Student Enrollment: Summer/Credit Hours Fall/Credit Hours Spring/Credit Hours Student Expenses: Tuition $ Fees $ Room & Board $ Books & Supplies $ Personal Expenses $ Travel $ TOTAL: $
