ࡱ> BDA $bjbj@@ 4("e1g"e1ga VV844huuuprrrrrr$!#9MuuMM111M:p1Mp11d`?Ґ|\0,W$W$W$uL61,#*uuuuuuMMMMW$uuuuuuuuuVX :  INCLUDEPICTURE "http://www.ramapo.edu/standards/print/images/2-1-2.jpg" \* MERGEFORMATINET  Office of Financial Aid Study Aboard AD-HOC Consortium Agreement Name Ramapo R # Home Address Street Address City State Zip Home Telephone Number Cellular Number Address during Transient Semester (program city, country) E-mail address _______ SS# - - Are you receiving a Study Abroad Scholarship? %Yes % No Are you applying for any financial aid? %Yes % No Are you using personal funds? %Yes % No Enrollment a. The student has permission from to enroll as a transient student? %Yes % No Name of host institution b. Dates of enrollment Fall Spring Summer _______ Winter Break c. The student will be enrolled for credits during the period above. d. Charges for semester/year Tuition Fees Room Board Misc Total e. If the student withdraws during the academic period indicated, the host school, __________________ agrees to inform 69ɫƵ of New Jersey the date of withdrawal and any reduction in the students charges. Responsible Official: The officials who are responsible for the administration of the financial aid program at Ramapo and the host institution listed above agree that all Title IV and State Aid will be calculated and disbursed through 69ɫƵ of New Jersey (the degree granting institution) in accordance with Federal, State and institutional regulations. Satisfactory progress and other student eligibility requirements will also be monitored by 69ɫƵ of New Jersey. The host school agrees to forward academic transcript to 69ɫƵ. 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