Academic Approval Form

This form must be submitted by the person on your campus responsible for approving off-campus studies (study abroad or internships for credit). This is often the Study Abroad office but could also be the Registrar or a different staff person with this responsibility.

Name of Student

First Name

Last Name

Student's Email

When is the student attending Living & Learning East Coast program?

Your Name

(Off-Campus Studies Advisor)

First Name

Last Name

Your Job Title

Your Email

Your Phone

(###)

###

####

Home College or University

Approval and Credit Transfer

Approval:

Is this student approved to study away by their home institution?

Yes

If approval is pending, please explain

Credits

Will the credits earned in at the Living & Learning program be accepted towards the applicant’s degree plan?

Is there anything we should be aware of?

Follow Up

Would you like to be contacted by Living and Learning staff person to discuss the status of this student?

Signature

By typing my full name below, I attest that the information that I provided is complete and accurate to the  best of my knowledge.

First Name

Last Name