Eap Academic Planning Form Ucsd – Fill Out and Use This PDF

Academic Planning Form - UCSD

EDUCATION ABROAD PROGRAM (EAP)

Name _____________________________________ Student ID # __________________ College _________

Last First M.

Major(s)_______________________________________ Minor/P of C/Reg Spec _____________________

Quarter(s) of study abroad (circle): summer 20__, fall 20__, winter 20__, spring 20__

Country ___________________ EAP Program (if more than one per country) ______________________

Expectations Concerning Credit:

Do you wish to fulfill requirements for your Major(s)?

Minor(s)?

General education?

How flexible are you?

Courses to be Taken Abroad: List a full load of courses (titles, not numbers) for your time abroad. Specify in the left-hand column whether you plan to apply them toward your Major(MA), Minor(MI), GE, Program of

Concentration(PC), Regional Specialization (RS), or Elective Units (EU).

MA, MI	Course Title (DO NOT USE COURSE NUMBERS)	UC	Dept. & College
GE, PC	(To be completed by student)	Units	Staff/Faculty Comments
RS, EU			(Optional)
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
________________________________________________________		_____	________________________
_________________________________________________________		_____	________________________

Student notes/comments (e.g. how definite are these course selections; what other courses could you pursue if these courses were not available):

The above information is complete and correct as of this date. I am aware that course offerings in host institutions fluctuate, and that it may be necessary to adjust my program accordingly. Also, I recognize that UCSD academic departments have final authority over what courses taken abroad fulfill major/minor requirements. Finally, I am aware of the UC residency requirements and that requests for waivers of these requirements must be petitioned separately prior to my departure.

____________________________________________________	____________________________
Student’s signature	Date
	REVISED 3/2010

Name _____________________________________ Student ID # __________________

FACULTY/STAFF COMMENTS AND SIGNATURES. Please clarify college/departmental requirements and recommendations relevant to EAP participation in the comments section below prior to signing. For example, how many courses/units will the department or college accept from study abroad; what types of courses taken abroad are particularly appropriate; what requirements cannot be replaced by a course taken away from UCSD; what courses should not be pursued abroad.

•The student and I have discussed the above plan in relation to student’s major program, including residency requirements. This course of study is approved provisionally, based on course titles and descriptions. Student must petition courses upon return, and submit supporting documentation, including syllabi, reading list, class notes, exams, papers, etc.

Additional comments:

________________	___________________________	__________________________	_________
Major Dept	Faculty/Staff Advisor Signature	Print Name	Date

•The student and I have discussed the above plan in relation to student’s major/minor program, including residency requirements. This course of study is approved provisionally, based on course titles and descriptions. Student must petition courses upon return, and submit supporting documentation, including syllabi, reading list, class notes, exams, papers, etc.

Additional comments:

________________	___________________________	__________________________	_________
2nd Major Dept	Faculty/Staff Advisor Signature	Print Name	Date

•The student and I have discussed the above plan in relation to student’s minor program, including residency requirements. This course of study is approved provisionally, based on course titles and descriptions. Student must petition courses upon return, and submit supporting documentation, including syllabi, reading list, class notes, exams, papers, etc.

Additional comments:

________________	___________________________	__________________________	_________
Minor Dept	Faculty/Staff Advisor Signature	Print Name	Date

•This is a matriculated student in good academic standing as of this date. The student and I have discussed the above plan in relation to student’s graduation requirements, including residency requirements. This course of study is approved provisionally, based on course titles and descriptions. Student must petition courses upon return, and submit supporting documentation, including syllabi, reading list, class notes, exams, papers, etc.

Additional comments:

______________________________________	______________________________	_________
Provost Office Academic Advisor Signature	Print Name	Date
		REVISED 3/2010