University of Puget Sound Study Abroad Course Evaluation Request
This form is used to determine if courses taken at a study abroad program are applicable to the Puget Sound degree.
Save form as a Word document and then email to Kathleen Campbell, Transfer Evaluator: kcampbell@pugetsound.edu.
Due February 25 (Fall/Full Year study abroad students)
Student Name:
UPSID:
Semester and year of study abroad:
Program Name:
UPS Pacific-Rim Study Tour
List your major(s):
Department
UPS Course
Number
Cell or local phone:
UPS email:
Faculty Advisor Name(s):
FALL 2014 – SPRING 2015
City and Country:
various countries, Asia
Minor(s) if any:
Course Title
Unit
value
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
University providing instruction: University of Puget Sound
Interdisciplinary emphasis if any:
Indicate reason
for each course:
Major, Minor,
Core, UpperDivision, Foreign
Language,
Elective
Date received:
Evaluation notes:
Degree Application Determination (to be completed by the Transfer Evaluator)
Student’s signature (signed at meeting with Evaluator): _____________________________________________________________ Date met with student: ________________
Transfer Evaluator: __________________________________________________ (Kathleen Campbell, 253-879-2653)
Date completed: _________________
This form verifies the degree application eligibility of the course(s) listed. When signed by a Puget Sound Evaluator, the University accepts this study plan in principle.
AN EVALUATOR’S SIGNATURE ON THIS FORM WILL NOT EXCUSE A STUDENT FROM UNIVERSITY OR DEPARTMENT REQUIREMENTS.
The final determination will be based on courses actually completed and grades earned.