CSU, Chico - Exchange Enrollment Verification Form
Students enrolled in the Direct Exchange Program receive international transfer credit for the equivalent number of academic units. All students are
required to maintain full-time status each academic term while abroad. Undergraduates must register for the equivalent of 12 units or more;
graduates, the equivalent of 8 units or more.
Complete the following form and request a signature confirmation by a host university Study Abroad Coordinator. Please submit the signed form by
scanning and emailing it to exchange@csuchico.edu.
NOTE: Please submit this form within the course add/drop period at the host university so that changes can be made if needed.
Host Institution:
Dates of current term abroad: start end
Current academic Term at Chico: Fall 20___________ Spring 20___________
Are you receiving Financial Aid from Chico State?
YES NO
LIST ALL CURRENTLY ENROLLED COURSES ABROAD
Student
Signature
Date
Host University Study Abroad Coordinator
Signature
Date
Rev. 12.2014
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signature
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signature
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