Advisor Approval Form

Advisor Approval Form
This form is to be completed by the university official responsible for approving study abroad. For any questions on the completion of this form, please contact The Learning Abroad Co. at info@thelearningabroadco.com
Student Name*
Program Name*
Program Location*
Program Term*
Study Abroad Official Name & Title*
Institution Name*
Advisor Phone*
Advisor Email*
example@example.com
Advisor Office Address*
I certify that the information provided below is current and accurate:
1. The student is currently in good academic standing.

YesNoUnknown
If no, please explain
2. The student’s current disciplinary status and history show the following:

Student has no prior or current disciplinary concerns/recordsStudent has previous, resolved disciplinary concerns/status detailed belowStudent is currently on disciplinary probation or has a current disciplinary concern
3. Approval (Check one)

The student named above is fully approved to participate on an EZC Study Abroad ProgramThe student named above is not approved to participate on an EZC Study Abroad programThe student named above is conditionally approved to participate on an EZC Study Abroad with the following requirements:
Any additional comments or concerns are provided below (optional)
By signing below, I understand that it may take 90 days after the conclusion of the program toconfirm all financial clearances and process the transcript for study programs. All students mustcomplete The Learning Abroad Co.’s Transcript Release form to designate who the official transcript is to be sent to. I understand that The Learning Abroad Co. does not award any credit for internships, but students may be able to earn credit at the home institution by speaking with their academic advisor to learn of any requirements.
Name (Signed)

First NameLast Name
Signature*

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Date*

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Date
Should be Empty:

Advisor Approval Form

I certify that the information provided below is current and accurate: