STUDY ABROAD APPLICATION
Wisconsin Lutheran College
Student’s Name ____________________________________________________ Date ___________________
Major(s) __________________________ Minor(s) ______________________ Advisor Name____________________
Foreign Program Institution ________________________________ Semester of Study ________________________
Program Location ___________________________________ Semester of Graduation ____________________
NOTES: Attach a published long description of each course you list below. Credits from an approved host
institution (college or study abroad agency) will be accepted after an official transcript is received
showing courses earned C or above.
Host Courses:
Subject/Number/Title
Signature of
Authorizing Faculty
`
________________________________________________
Registrar Approval Date
Cost of Program (Attach Documentation)
Tuition and Fees ______________
Living Expenses ______________
Transportation ______________
Total Costs ______________ ____________________________________________
Financial Aid Approval Date
_____________________________________________________________________ Date _______________
Student Signature
_____________________________________________________________________ Date _______________
Academic Advisor Approval
_____________________________________________________________________ Date _______________
Foreign Language Dept. / School of Education Approval (If applicable)
_____________________________________________________________________ Date _______________
Dean Approval
Original form to Registrar
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