UW-Platteville Collaborative Engineering Financial Aid Consortium Agreement Form Student: Today’s Date: Social Security #: Semester/Year: Visiting Campus: This agreement confirms UW-Platteville as the “Home” campus (from which the student intends to graduate) and identifies which campus shall be considered “Visiting.” UW-Platteville agrees to award financial aid to the student utilizing the costs of the Visiting campus to determine program eligibility. The Visiting campus agrees to furnish UW-Platteville with the total number of credits for which the student has enrolled, the cost of tuition and fees, and to inform UW-Platteville of any course/credit changes, refunds or withdrawals. The Financial Aid Office at the Visiting campus will not provide any aid to the student for the period of attendance noted above. COMPLETED BY VISITING CAMPUS FINANCIAL AID REPRESENTATIVE: This is to certify that as of this date the above named student has enrolled for credits for the session indicated above as a Visiting student (Guest Matriculant). The student’s cost for this session in Tuition & Fees is: $__________________ Staff Name Campus Signature Office Phone # Date Email Address Please return this form to the UW-Platteville Financial Aid Office husermi@uwplatt.edu 608.342.1836