Judson University Study Abroad Program Form
Student: _________________________________ ID#:_______________ CPO#_____________
NOTE: Study Abroad information, details and applications are available in the office of Gerald Longjohn, International
and Intercultural Advisor.
STEP ONE: Student meets with academic advisor.
This student is interested in the following study abroad program:
AUSTRIA: ALDERSON-BROADDUS COLLEGE (SAP400)
JERUSALEM UNIVERSITY COLLEGE (SAP450)
AUSTRALIA: WESLEY INST FOR MUSIC/THE ARTS (SAP405)
LATIN AMERICAN STUDIES PROGRAM (LASP) (SAP455)
AMERICAN STUDIES PROGRAM (ASP) (SAP410)
LOS ANGELES FILM STUDIES CENTER (LAFSC) (SAP460)
CHICAGO SEMESTER (SAP312)
NEW YORK CENTER FOR ART & MEDIA STUDIES (NYCAMS) (SAP462)
CHINA STUDIES PROGRAM (CSP) (SAP415)
MIDDLE EAST STUDIES PROGRAM (MESP) (SAP465)
CONTEMPORARY MUSIC PROGRAM – MARTHA’S VINEYARD (CMP)
(SAP420)
DEMONTFORT UNIVERSITY EXCHANGE PROGRAM (SAP425)
OXFORD SUMMER PROGRAMME (CMRS) (SAP470)
RUSSIAN STUDIES PROGRAM (RSP) (SAP475)
SUMMER INSTITUTE OF JOURNALISM - WASHINGTON (SIJ) (SAP480)
FOCUS ON THE FAMILY - INSTITUTE FOR FAMILY STUDIES (SAP 430)
GERMANY – UNIVERSITY OF LÜNEBURG (SAP432)
SEMESTER IN SPAIN (SAP485)
SPRING SEMESTER IN THAILAND (SAP487)
HONG KONG BAPTIST UNIVERSITY (SAP435)
TOKYO CHRISTIAN UNIVERSITY (SAP490)
HONOURS PROGRAMME-CMRS, OXFORD (HP-O) (SAP440)
UGANDA STUDIES PROGRAM (SAP495)
INHOLLAND UNIVERSITY (SAP445)
I believe that this student has demonstrated maturity and emotional stability to be successful on a Study Abroad Program. The
curriculum of the program the student is interested in coincides with the student’s major. The student’s GPA is over 2.0.
_____________________________________________
Academic advisor’s signature
___________________, 20____
Date
STEP TWO: Student meets with and submits application materials to Intercultural/Int’l
Advisor (Lisa Jarot, x1572).
When the student has been accepted in the program, the Intercultural/Int’l Advisor returns this form to the student. Student will
complete and return this form to the registrar’s office along with the letter of acceptance into the designated program.
This student has been accepted into the above program acceptance letter
Student has been advised of financial aid issues.
_________________________________________
Financial Aid Officer
attached,
to follow.
Student has been cleared through Student Accounts.
_____________________________________________
Student Accounts Manager
_____________________________________________
Student’s signature
___________________, 20____
Date
Please complete steps on both sides of this form
After registration, copy to: Student, Academic Advisor, and International/Intercultural Advisor
D:\106753529.DOC 12/12/2005
Judson University Study Abroad Program Form
STEP THREE: Student meets with Academic Advisor & Division Chair.
Note: Specific program courses will not be entered until an official transcript is received. Attach an Add/Drop or Special Course
Arrangement form as appropriate, for Judson courses, i.e. practicum, internship, reading, independent study, etc.
This student is clear to register
The courses the student will take shall equate as follows:
SAP Course________________________________Judson Course____________________
SAP Course________________________________Judson Course____________________
SAP Course________________________________Judson Course____________________
SAP Course________________________________Judson Course____________________
SAP Course________________________________Judson Course____________________
_____________________________________________
Academic advisor’s signature
___________________, 20____
Date
____________________________________________
Division Chair Approval
___________________, 20____
Date
STEP FOUR: Student brings this form to registrar’s office:
Address to send registration information/correspondence to, an emergency contact: (Please contact ORR if this changes.)
ATTN: ________________________________________ Relationship: ______________ Phone: _____________________
Street: ______________________________________________ City: ______________________________________________
State/Country: _____________________________ Zip: ___________ Email: __________________________________
By signing your name, you indicate that you agree to comply with Judson catalog policies, that you will check your Judson E-mail
on a regular basis and that you are responsible, upon program completion, to have an official transcript sent to Judson College,
Registrar’s Office.
_____________________________________________
Student’s signature
____________________________________
Registered by (Office Use Only)
___________________, 20____
Date
___________________, 20____
Date
Please complete steps on both sides of this form
After registration, copy to: Student, Academic Advisor, and International/Intercultural Advisor
D:\106753529.DOC 12/12/2005