Georgia Southern University Office of International Programs & Services

COURSE OF STUDY APPROVAL FORM FOR APPROVED EXCHANGE PROGRAMS ATTENTION STUDENT: This form serves to approve your expected schedule of courses from your exchange program experience. To complete the form, take a syllabus, if available, or course description of each class to be taken abroad to the Office of International Programs & Services to determine the tentative transfer course equivalency. Please submit this form to the Office of the Registrar (Rosenwald Building; P.O. Box 8092) 3 weeks prior to your program’s departure date. Participant Name:

Transcript Issuing Institution:

Eagle ID: Major(s): Minor(s): Participant’s Mailing Address:

Term Start Date (month/year):

Term End Date (month/year): Local Phone:

Home Phone:

Course(s) to be taken at Host Institution Course Prefix

Course Number

Course Title

Tentative Georgia Southern Equivalent Course(s)

Hours

E/S

Course Prefix

Course Number

Course Title

Hours

NOTES: 1) Final determination of transfer credit will be based upon review of course materials provided by the student and transcript provided by the host institution. Any credit awarded follows Georgia Southern University’s process for awarding transient credit, as published in the Undergraduate Catalog. The Student, the Office of International Programs & Services, and the Office of the Registrar will maintain a copy of this form. 2) It is the student’s responsibility to:

1) Keep all course materials including syllabi, course descriptions, coursework, and textbook information, necessary for evaluating transfer credit upon return to Georgia Southern. This also applies to courses that have specific host university pre- enrollment requirements such as language placement testing. 2) Submit course materials, included in #1 (above), to the Office of International Studies within 10 business days of completing the term. 3) Know that if he/she is within 25% of hours needed to graduate, the student’s department chair and dean (of major) must approve the form. Revised 11/04/2015

Required Signatures: I request permission to take the above listed course(s). I understand that courses will not transfer until course materials and my transcript are submitted to the Office of International Programs & Services and have been evaluated by the Office of International Programs & Services, relevant Department Chairs, and the Registrar, as appropriate. I also understand that completing my final semester of coursework while abroad will prevent me from participating in graduation ceremonies, and may delay my official date of graduation.

Student Signature

Date

I approve the requested course of study.

Representative, Int’l Programs & Services

Academic Advisor

Date

Department Chair

Date

Department Chair

Date

Dean (if student is within 25% of hours needed to graduate)

Date

Date

Advisor: please note! This student’s study abroad courses will be posted on the student’s Georgia Southern University transcript as transfer hours. These transfer hours may affect the student’s degree and major residency hours as they relate to the student’s graduation requirements. Be sure to take this into consideration when signing and note this in your student’s advisement file. Please discuss these residency requirements with your student.

* Student must acquire approval signature from the Chair of each Department where transfer credit will potentially be applied* To be completed by the Office of International Programs & Services: The above named student: ____ is not on academic warning, academic probation, or academic exclusion from Georgia Southern University and has approval to study abroad. ____ is a Learning Support student and has obtained permission from the Director of the Academic Success Center to study abroad. ____ is studying abroad during their last semester of coursework at Georgia Southern University and will miss the graduation ceremonies and/or will have a delayed graduation term. ____ is not under disciplinary sanctions as identified by the Dean of Students . _______________________________ Office of International Programs & Services Initials/Date

Revised 11/04/2015