VUSE Non-VU Study Abroad Course Evaluation
Student Information
First Name / Enter text / Last Name / Enter text /VUnetID / Enter text / Phone / Enter text /
VUSE Major / Choose an item. / Expected Grad Year / Click here to enter text. /
Email / Enter text
Desired Semester/year abroad / Enter text /
.
Program Name / Enter text /City / Enter text / Country / Enter text /
Name of Institution supplying transcript / Enter text /
Credit System / Enter text /
Course Information
In the sections below, fill in the information for courses in only one disciplinary area, e.g., computer science or economics. Use a separate form for courses in distinct disciplines.
Course 1
Intended Course at Host InstitutionCourse # / Course Title / Credits
Enter text / Enter text / Enter text /
..
Vanderbilt Equivalent CourseCourse # / Course Title / Credit hours / Category / Writing Course?
Enter text / Enter text / Enter text / Choose an item. / Select /
Course 2
Intended Course at Host InstitutionCourse # / Course Title / Credits
Enter text / Enter text / Enter text /
..
Vanderbilt Equivalent CourseCourse # / Course Title / Credit hours / Category / Writing Course?
Enter text / Enter text / Enter text / Choose an item. / Select /
Course 3
Intended Course at Host InstitutionCourse # / Course Title / Credits
Enter text / Enter text / Enter text /
..
Vanderbilt Equivalent CourseCourse # / Course Title / Credit hours / Category / Writing Course?
Enter text / Enter text / Enter text / Choose an item. / Select /
Student Confirmation
I certify (1) that the above information is correct, (2) that in advance of travel I will register my travel with ISOS and will update ISOS with developments to my itinerary, and (3) that in advance of travel I will purchase HTH Worldwide or equivalent insurance to cover my healthcare needs while abroad.
Student signature and date
Faculty Approvals
Print completed form and have signed by appropriate faculty members in this order.
Click here to enter text. / Enter disciplinary area here /
I certify that the courses abroad listed on this form are equivalent to the noted courses at Vanderbilt. / Signature and Date
First and Last Name / Academic Adviser for Major/Minor in…
Click here to enter text. / Enter disciplinary area here /
I certify that thecredits listed can count toward degree requirements in the major/minor for which I advise and in the category(ies) as noted. / Signature and Date
Cynthia B. Paschal, Ph.D. / Associate Dean, VUSE
I approve the transfer and recording of these credits toward degree requirements as noted above upon receipt of an official transcript. / Signature and Date