STANFORD UNIVERSITY • FINANCIAL AID OFFICE • MONTAG HALL • 355 GALVEZ ST • STANFORD, CA 94305-6016
CERTIFICATION OF APPROVAL FOR OFF-CAMPUS ENROLLMENT
Federal and state regulations permit the Financial Aid Office (FAO) to offer federal Pell Grant, Direct Loan, Direct PLUS Loan, and/or Cal Grant
funds to assist Stanford students with the cost of courses taken elsewhere which can be applied toward your Stanford degree program. University-
administered aid funds (Stanford scholarship, federal SEOG grants, federal Perkins loans, and Stanford institutional loans) are not available to
cover the cost of courses taken elsewhere.
Please complete both sides of this form, including obtaining approval from the Registrar’s Office, and return the completed form to the FAO.To
ensure timely delivery of your aid funds, please submit this form at least 8-10 weeks before your enrollment at the Host Institution begins or
before payment for the program is due. Course units earned at the Host Institution must be successfully transferred to Stanford within 90 days of
completion of your enrollment at the Host Institution.
Social Security #
Local Phone Number
Permanent Phone Number
Current Class Level
Host Institution, Program Name, Location
Title IV School Code (Required)
Complete Mailing Address
COURSES FOR WHICH YOU PLAN TO ENROLL
Official Course Title
Official Course Title
Please read and sign:
I understand that my federal and/or state financial aid for enrollment at the Host Institution is contingent upon successful completion of the above courses. In
addition, I recognize that these course units must be transferred to Stanford University to be applied toward my degree programwithin ninety days of the end of my
enrollment at the Host Institution. I understand that if my units are not successfully transferred within the ninety-day period, my financial aid for the enrollment
period will be retroactively canceled; I will be responsible for immediate repayment of all funds received, and my future registration at Stanford will be placed on
hold until all funds have been repaid.
TO BE COMPLETED BY CREDIT EVALUATOR, REGISTRAR’S OFFICE
THE ABOVE NAMED SCHOOL IS AN ACCREDITED INSTITUTION:
THE COURSES TO BE TAKEN ARE TRANSFERABLE:
THE COURSES TO BE TAKEN, WHEN COMPLETED, WILL TRANSLATE INTO _______ QUARTER UNITS AT STANFORD.
CREDIT EVALUATOR’S SIGNATURE
THE REGISTRAR CANNOT GUARANTEE IN ADVANCE WHETHER STANFORD CREDIT WILL BE AWARDED FOR THE ABOVE COURSES.
PLEASE COMPLETE REVERSE SIDE
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