Academic Clearance Form

Academic Clearance Form

All GU students applying to study abroad in any program(s) must receive clearance from the GU Academic Advisory and Assistance office (AAA). Applying for study abroad clearance is one step in the process of applying for a program. Receiving clearance does not automatically mean students are enrolled in the program(s) they have applied for.

Please complete the electronic form below. The information you provide will be directly submitted to the AAA office for clearance. The AAA office will answer the questions below and provide results to the GU Study Abroad office.

  1. Is this student a matriculated undergraduate?
  2. Is this student in good academic standing?
  3. Has this student ever been on academic probation?
  4. Has this student ever been found in violation of the academic honesty policy?
  5. Has this student ever been on academic honor probation or suspension?
  6. Is Academic Services aware of any concerns regarding social, behavioral or academic issues that might impact this student's ability to study abroad successfully?
  7. Does this student have your approval to study abroad?
  8. Please add any additional comments you might care to make concerning this student's eligibility and/or qualifications for studying abroad, or for any clearance changes.
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Student Personal Information
GU ID Number
First Name:
Middle Name:
Last Name:
Cell Phone Number:
Your Email Address:
Your Current Class Status: Freshman Sophomore Junior Senior

Program Information

Name of First Program:
If you selected "Other Program" - type the name and location of program below:

Term Applying To:
Spring 2012 Summer 2012
Academic Year 2012/2013 Fall 2012 Spring 2013
Name of Second Program:
If you selected "Other Program" - type the name and location of program below:

Term Applying To:
Spring 2012 Summer 2012
Academic Year 2012/2013 Fall 2012 Spring 2013
Name of Third Program:
If you selected "Other Program" - type the name and location of program below:

Term Applying To:
Spring 2012 Summer 2012
Academic Year 2012/2013 Fall 2012 Spring 2013

Authorization To Release Information
Yes, I hereby waive my right to access information on this form and request that it be completed and forwarded to the GU Study Abroad office.

Acknowledgement
By typing my name and the date (MM/DD/YEAR) below, I acknowledge that even after the Office of Academic Advising and Assistance clears me, any conduct violations prior to departure may result in my clearance status being changed which may lead to my being dropped from the requested program(s). Should this happen, I understand that any financial commitments I have already made toward the program(s), including but not limited to program costs, visas, airfare, etc, will not be reimbursed.
Your full name:    Date (MM/DD/YEAR):