SUSQUEHANNA UNIVERSITY

APPROVAL FOR OFF-CAMPUS STUDY PROGRAM

If you plan to study off-campus, please complete both sides of this form, then make an appointment to meet with Mrs. Leitzel in the Registrar's Office before the end of the registration period (March or October). During your meeting she will sign the form for the Registrar's Office.

Name: ___________________________ID#: ______-____-______ Cum G.P.A.: ____ Class: ____
Program: _________________________________Location:_______________________________
Dates of Attendance: ______________________Return to Campus (date):____________________

PROPOSED CURRICULUM

List all proposed courses, including likely alternatives. Beside each course, note whether it is being taken as an elective or to fulfill a specific requirement; if it has an S.U. equivalent include the course number. For courses that will count as major, minor or core credit the course description must be reviewed and approved by the appropriate department head. Remember, you must be enrolled in a minimum of 12 credits to maintain full-time status.

 

Course No.

Title

SU Equivalent

Approval Received

Check here if approval is only for this student
1.__________________________________________________________________________________
2.__________________________________________________________________________________
3.__________________________________________________________________________________
4.__________________________________________________________________________________
5.__________________________________________________________________________________
6.__________________________________________________________________________________
7.__________________________________________________________________________________
8.__________________________________________________________________________________
9.__________________________________________________________________________________

Complete the course evaluation selection before obtaining the following signatures:

ApprovalsDate
Advisor: _______________________________________________________________
Business Office: _____________________________________________
Financial Aid Office: ______________________________________________
Study Abroad: ___________________________________________________
or
U.S. Program Coordinator: ______________________________________________
Student Life: ___________________________________________________
Registrar's Office: __________________________________________________

When you arrive at your off-campus destination, you must confirm your schedule with the Registrar's Office. If any of the courses were not previously approved, then you must make arrangements to have them evaluated for transfer.

Address where you can be reached during off-campus study semester (if not known please advise the Registrar's Office as soon as you DO know).
________________________________________________________________________________
________________________________________________________________________________

Program Mailing Address
________________________________________________________________________________
________________________________________________________________________________

Proposed Schedule for return to Susquehanna:

Before you return this form to the Registrar's Office, you should discuss with your advisor the classes which you wish to take on your return to Susquehanna University (S.U.) and list them in the space below. A copy of this form will be given to your advisor so you can be enrolled in these classes. A copy of the class schedule will be mailed to you as soon as it becomes available and you can use that to confirm the feasibility of your proposed schedule. If you need or want to make changes to your proposed schedule you must inform your advisor. It is recommended that you take your copy of the S.U. catalog with you in case you need to make any changes to your schedule. Both the course schedule and catalog are accessible from the Registrar's Office Webpage, at www.susqu.edu/registrar/.

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________________________________________________________________________
________________________________________________________________________

Useful numbers:
Registrar's Office:Fax: (570) 372-2753Phone: (570) 372-4109
Email: Mrs. Leitzel, Registrar's Office leitzel@susqu.edu
Dr. Manning, Study Abroad Director:manning@susqu.edu
U.S. Program Coordinator:_________________
Advisor(s):_________________

Please sign below to indicate that you have read and understood your responsibilities regarding study abroad.

Signature: ____________________________________Date: ________________________