Study Abroad Consortium Agreement Form - Study Abroad Program printable pdf download

Hillsborough Community College

Office of Financial Aid Cross Enrolment Contract 2014-2015

Study Abroad Consortium Agreement

Student’s Name :

HCC ID:

Date of Birth:

IMPORTANT: This form must be completed and submitted to HCC Office of Financial Aid immediately, but no later than:

August 27, 2014 for Fall 2014

January 16, 2015 for Spring 2015

May 22, 2015 for Summer 2015

Complete this form only if you will be participating in a study abroad program and you qualify for Federal Student Aid. HCC Office of

Financial Aid reserves the rights to deny this request.

In order to complete this contract, you must:

1. be degree seeking at HCC; and,

2. transfer back all credits enrolled to satisfy your HCC degree requirements; and,

3. be in an approved student abroad program; and,

4. have a complete financial aid file on record with HCC; and,

5. be meeting HCC’s Satisfactory Academic Progress (SAP) policy for Financial Aid recipients.

Student Instructions: If you meet ALL of the above criteria, complete Section A of this agreement, sign the Statement of Compliance

for Financial Aid recipients, have Host Institution complete section B, and have Section C completed by a HCC Academic Advisor.

Section A: To be completed by the student.

This contract is for (choose only one term):

____ Fall 2014

____ Spring 2015

____ Summer 2015

Print the full name of the Host Institution: ________________________________________________________________________

Country of Host Institution: ____________________________________

Read and sign the Statement of Compliance for Financial Aid Students:

I understand that:

1. I am responsible for paying tuition and fees at my host institution.

2. I cannot receive federal funds from more than one school and only HCC will process my financial aid.

3. Once I have passed a course, I can take the same course one more time and it can be counted in my eligibility for aid.

4. My financial aid will not be paid prior to the end of HCC’s drop/add period.

5. I will be paid financial aid based on the total enrolled hours that will apply toward my degree requirement at HCC (correspondence

courses will not be approved).

6. I may be required to repay funds if I drop or withdraw from the classes at my host institution.

7. I will only receive credit and funding for what the approved course(s) is equal to at HCC.

8. I must request academic transcript from my host institution be sent to the HCC Admissions & Records at the end of my term of

study.

9. My credits will not count as earned until my official transcripts has been received and processed, which may delay future financial

aid payments.

Statement of Compliance for Financial Aid Students: My signature below confirms that I have read and clearly understand the

requirements above and my responsibilities as a participant. I understand that it is my responsibility to ensure that all sections of this

agreement are signed and completed by the appropriate persons or the agreement will be considered invalid.

Student Signature: ____________________________________________________ Date: _______________________________

Hillsborough Community College | Office of Financial Aid | PO Box 31127, Tampa, FL 33631-3127

Phone: 877-736-2575 | Email: districtfinancialaid@hccfl.edu| Fax: 813-259-6020

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Study Abroad Consortium Agreement Form - Study Abroad Program

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