APPLICATION FOR OFF-CAMPUS STUDY
Name
(Print) I D No.
Major _________________________________________ Cell Phone: _____________________
Institution Information:
Name of Institution
Address
Term(s)/Dates of Attendance
Course Information:
King’s
Course No. Course Title Credits Course No.
Request:
I have read and understood the instructions and policies on the reverse side of this form.
I will have the institution at which I am visiting send an official transcript directly to the
Registrar’s Office, King’s College.
Student Signature Date
Approvals:
Academic Advisor Date
Registrar Date