Course Verification Form for Study AbroadName: __________________________________________ University ID: _______________________________________

Academic Advisor: ______________________________ Department: ________________________________________

Program: _______________________________________

I have authorized the following courses to transfer ____ credit hours to Tarleton.

It is my understanding that the student listed above will register, in correspondence with, and for courses as reflected on this application. I have met with and advised the student in regards to his/her degree plan, for the semester indicated and feel that he or she will benefit from studying abroad, and that doing so is in line with his or her pursuit of a degree from Tarleton State University.

Note: The Student may not drop/add courses for which he or she has been advised without the consent of the academic advisor. Unauthorized changes in enrollment may not be recognized for credits at Tarleton State University._______________________________________________ __________________________________________________

_______________________________________________ __________________________________________________

_______________________________________________ __________________________________________________

04//2017

For office use only: Reciprocal Exchange Independent Midwestern State University British Studies Billable Non-billableIndicate the semester and year the student will be studying abroad: Fall January Term Spring Summer

Student Date

Advisor Date

Department Head Date

Dean Date

Director of International Programs Date

Registration and Records Coordinator Date

International Programs Box T-0770

Stephenville, TX 76402(254) 968-9545

www.tarleton.edu/studyabroad

# Course # / Course Name Tarleton Equivalent

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