Academic Approval Form
This form can be completed electronically. Complete all four steps in order.
STEP 1: Student Information and Academic Planning
To be completed by student
Your Name: _____________________________________________________ ID# ________________ College: ______________________________
Major(s), Minor(s): __________________________________________________________________________________________________________
Program Terms: ☐Fall ☐Winter ☐Spring ☐Summer Program Year: ___________ Program Type: ☐UCSC Exchange ☐UCEAP
Program Name: ___________________________________________
Program Application Deadline: ________________________
I am undeclared in a major: ☐YES ☐NO
If yes, you must declare prior to departure (unless an exception is granted by your College). Indicate qualifying courses
under "Before Program" to show that you will complete requirements to declare.
I will go on this program during my senior year: ☐YES ☐NO
If yes, you must meet UCSC Senior Residency Requirements. There are two options: complete 35 of final 45 credits at UCSC
before the program--OR--complete 35 of final 90 credits at UCSC with a minimum of 10 credits completed at UCSC after the
program. For questions, contact your College.
Before Program During Program After Program
Starting with the current term, indicate in
chronological order GEs and major/minor
courses (including courses to qualify for your
major) you will take before your program.
Qualifying Course
Indicate the type of UCSC credit (major,
minor, GE, electives) you request to fulfill on
your program. You do not
need to indicate
specific courses in this section because
course information at the time of completing
this form is usually tentative and subject to
change. There is no guarantee that particular
courses will be offered. Research recent
course offerings to determine if desired
subjects are generally available.
Indicate remaining major/minor courses and
GEs that you will complete after your program.
Skip this step if the program is your last term
before graduating.
Minor
Major
Major
Minor
Course Name Term & Year
GE
Course Name Term & Year
GE
Example: Econ 11B Spring 21
☐ ☐ ☐ ☐
Example: Econ 197 Winter 22
☐ ☐ ☐
☐
☐
☐ ☐ ☐ ☐
☐ ☐ ☐ ☐
Type of Credit Term & Year
☐ ☐ ☐
☐ ☐ ☐ ☐
Example: Upper Div Major Elective Fall 21
☐ ☐ ☐
☐ ☐ ☐ ☐
Example: CC GE Fall 21
☐ ☐ ☐
☐
☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
☐
☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐ ☐
By typing my name below, I confirm the following: I have completed the academic plan above to the best of my ability with the information
available at this time. Because courses abroad are subject to change, there is no guarantee that specific courses will be offered. I understand that
this form is NOT a course enrollment form. Department(s) have final approval over which, if any, courses from abroad may be used to satisfy
major/minor requirements. The UCSC Committee on Courses of Instruction has final approval over which, if any, courses may be used to satisfy GE
requirements. I understand that I will register for study abroad program classes either close to departure or after arrival. I understand that courses
abroad vary from year to year, so I may not be able to finalize my schedule until I arrive abroad. I understand that courses abroad cannot satisfy the
Disciplinary Communication (DC) requirement and that approved DC course(s) must be taken at UCSC.
Student Signature (type to sign): _______________________________________________________________ Date: ________________ pg. 1/3
