Advocate Resource Materials

Consortium Agreement

The two above named institutions agree to enter into a consortium agreement for:
Permanent Address

 
Street
City
State
Zip
Home Phone
Address at Host Institution

Check if same as Permanent Address
Street
City
State
Zip
Home Phone

I will begin attendance at the Host Institution at the beginning of the following quarter:

Year

By checking this box, I am certifying that all information I have provided in the Student Consortium Agreement is complete and true. I agree to notify the Home Institution if I do not enroll as planned. I understand that the Host Institution and the Home Institution have entered into a formal agreement that identifies the responsibilities of each institution, and that my enrollment in Host institution courses are governed by this agreement. By typing my name and student ID below and clicking on the "Sign Electronically" button, I acknowledge and agree that I am entering into a legally binding and enforceable agreement.
Name
ID#