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