<p> SMITH COLLEGE - SENIOR YEAR ELSEWHERE REQUEST FORM</p><p>Name: ID# Class: Box# </p><p>Major: Email: Phone# </p><p>FALL SPRING Credit Credit Credit Credit Inside Outside Inside Outside Dept.# Course name major major Dept.# Course name major major First Yr. 20____- 20____</p><p>In residence at Smith College? yes /no In residence at Smith College? yes /no</p><p>TOTAL CREDITS FIRST YEAR 0 Sophomore Yr. 20____- 20____</p><p>In residence at Smith College? yes /no In residence at Smith College? yes /no</p><p>TOTAL CREDITS SOPHOMORE YEAR 0 Junior Yr. 20____- 20____</p><p>In residence at Smith College? yes /no In residence at Smith College? yes /no</p><p>TOTAL CREDITS JUNIOR YEAR 0 Senior Yr. 20____- 20____</p><p>Where will you be studying? Where will you be studying?</p><p>Additional Credit (list any AP, summer school & dates) TOTAL CREDITS SENIOR YEAR 0 TOTAL ADDITIONAL CREDIT 0 GRAND TOTAL OF CREDIT (must be > to 128) 0 INSTRUCTIONS FOR PLANNING YOUR SENIOR YEAR ELSEWHERE</p><p>Students who are planning on studying away from Smith College during either semester of their senior year should complete this form in its entirety. Incomplete forms will not be considered.</p><p>You need to:</p><p>Meet with and obtain the signatures of your Adviser and Department Chair prior to submission.</p><p>Complete a separate form for each of your majors if you have two majors.</p><p>Resolve any credit shortages prior to studying away your senior year.</p><p>Submit an Off Campus Study/Personal Leave Form with your Senior Year Elsewhere form. </p><p>Read and abide by the Guidelines for Transfer Credit.</p><p>Submit course descriptions for courses you intend to take elsewhere.</p><p>File a Certification of the Major Form when you receive notification from the Registrar.</p><p>Once all forms are in order, your plan will be reviewed by the Class Deans. Written approval will be sent to your campus box. </p><p>If for any reason there is a change in your plan you must notify your Class Dean. Any change in major courses must be approved by your major adviser.</p><p>* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * </p><p>I have read the above instructions and filed the necessary paperwork required for consideration:</p><p>______/______Student (print name) (signature) Date</p><p>______/______Major Adviser (print name) (signature) Date (Certifies requirements will be met)</p><p>______/______Department Chair (print name) (signature) Date</p><p>APPROVAL: ______Class Dean Signature Date</p><p>Updated 8/11 (over)</p>