Clear Form
International Programs and Services
Study Abroad Course Planning Sheet
Please review the instructions and directions on the second page before completing this form.
Student Name:
Student MTU ID: M
Last Name
JCMU
GR
Name of host institution:
ISA
Exchange
EPS
MTU Faculty-Led Program Name:
Student’s Signature and Date
Student signature affirms understanding of how courses taken
while abroad will be counted towards degree requirements
Semester you will attend this institution (please complete all that apply):
Fall
Spring
Summer Session (indicate: A, B or A&B)
Major or Minor Specific Course Equivalents
To Be Completed By Academic or Departmental Advisor
List all courses you would like to enroll while abroad. Include
as many courses as possible (including alternates) so that you
are aware of all of your options. Attach course descriptions.
Use separate forms, if necessary.
Course Title
S@S
Year you will attend this institution:
Courses Taken Abroad
To Be Completed By Student
Course
Prefix #
Level: UG
First Name
Name of host city country:
Name of program provider:
USAC
Major(s):
Credits/
Units
This section must be completed by the department which governs the
course. E.g. If you are a mechanical engineering student who would like
to enroll in a math course that is required for your major, you must
consult the math department. If course has no equivalency, see IPS.
MTU Course Number and Title
(equivalent/substitute)
# of
MTU
Credits
Department Signature
Academic Advisor’s Signature and Date (Both Major and Minor Advisors must sign, if
needed) Academic Advisoror's e-mail:
Signature(s) affirms that student has discussed his/her study abroad plan
General Education and HASS Distribution
Courses To Be Completed by IPS
This section will be completed by IPS in
conjunction with the Registrar’s Office.
MTU Course Number and Title
(equivalent/substitute)
# of MTU
Credits
IPS Signature and Date
Signature affirms all course equivalents have
been preapproved by required parties
Instructions for completing the Study Abroad Course Planning Sheet:
This completed form, with the appropriate signatures, must be submitted before student departs the US to engage in a Michigan Tech study abroad program. Each course
must be assigned a MTU course equivalent or course substitute for course credit. Courses may be given an exact course number or be assigned upper- or lower-level elective
credit in the department. The equivalencies provided are preliminary and serve as planning and information purposes only. They should not be construed as a contract or
offer to contract. We cannot guarantee final, official equivalencies until we receive your final, official study abroad transcript and course descriptions, if required. Students are
responsible for requesting the official transcript be sent to Michigan Tech. To ensure credit, all students are encouraged to keep a portfolio of all work performed while
abroad. Examples include: course syllabi, textbooks used/referenced, and any work that was submitted for credit. NOTE: Grades earned while abroad will not count toward
your Michigan Tech GPA. Only courses in which the student earned a grade equivalent to a US “D” or better will count as credits earned towards your degree.
GUIDE TO APPROVAL SIGNATURES
To the Student:
Compile a list of all courses you would like or intend to take during your international study program (consult catalogs, web sites, and other sources available for this
information). To facilitate course equivalencies, attach detailed course descriptions. Then meet with the department advisor to seek a course equivalency. Meet with your
advisor to discuss which classes taken abroad are most appropriate for your major. Select as many courses as possible so that you are aware of all of your options. Each
course you select must be approved by Michigan Tech PRIOR to departure.
How to get courses approved:
1) Some courses have already been pre-approved and are listed online at IPS’ Web site: mtu.edu/international- follow the link to the appropriate program abroad for which
you are applying. List these courses on page 1 of this document and have your academic advisor complete the equivalent section and sign page 1. Return this document
to IPS and keep a copy for yourself. NOTE: Use more than one form, if necessary.
2) If the course(s) is NOT listed on IPS’ Pre-approved courses form, you must obtain the course equivalence by the appropriate academic department.
a. It is your responsibility to provide course descriptions (in English) for each course. Course descriptions/syllabi must include course number, name, credits, contact
hours, goals, course content, required text information for each course (including title, author, edition, and date of publication), and copies of each course or lab
syllabus. Course pre-requisites (and all attending course syllabi) should also be indicated. Send paper or electronic copies in English, to your academic advisor or to the
academic advisor in the appropriate department that will determine course equivalencies. Credits will not be awarded without complete course descriptions.
NOTE: The department chair and/or dean reserves the right to review syllabi, coursework completed, or test for competency.
3) If you plan to complete a research project, independent study, or internship, please attach the additional information as specified by your advisor or professor.
4) When you have completed this form, make a copy for yourself prior to submitting it to the International Programs and Services Office. This form is needed before you
depart for your program. You may be able to avoid repeating (and paying for) courses by following these equivalency guidelines.
To the Academic Advisor:
This form lists the course(s) your advisee plans to complete during his/her international study abroad program. Please authorize course equivalence for the international study
program listed on page 1 and consult with the student regarding the relevance of courses, prerequisites needed, and progress toward degree completion. Initial each course
you review, print your name and sign. Keep a copy for your file.
To the Academic Department:
This form lists the course(s) the student plans to complete during his/her international study abroad program. Please indicate the equivalent Michigan Tech course for that is
relevant to your department. If no MTU equivalent exists, please indicate whether departmental elective credit can be granted. Initial by each course you authorize, print your
name and sign. Keep a copy for your file.
***RETURN ORIGINAL(S) TO INTERNATIONAL PROGRAMS AND SERVICES, ADMINISTRATION BUILDING, ROOM 200***