Off-Campus Study Confirmation Form

All students who are planning to study off-campus for the upcoming semester must complete this form. Information from this form is sent to the Housing, Financial Aid and Business Offices. Please note that many off-campus study programs will also have their own confirmation materials. Please be sure to complete all required documents (from F&M and your program provider) by stated deadlines. NOTE: All fields are required.

Name * First Last
Email *
Preferred Phone Number * - (###) - ### ####
Off-Campus Study Program Name *

(Example: University of Otago, DIS or IES, Advanced Spanish Studies)
Off-Campus Study Program Location (City and Country) *
Semester/Term of Off-Campus Study *
Off-Campus Study Program Application Status *

Please choose your current application status. If you have not yet received your acceptance decision or if you have not yet officially committed to your program, the Office of International Programs will send you a follow-up email throughout the semester to determine your final status.
Dates of Enrollment in Program
From: * / MM / DD YYYY
Enter the start and end dates for your program. Do not include any planned personal travel before or after the program.
To: * / MM / DD YYYY
E-mail of Contact at Off-Campus Study Program *

Enter the e-mail address of your program adviser or the administrator of your off-campus study program (not your adviser at F&M). If you do not know who this person is, contact the Office of International Programs staff at Franklin & Marshall.
Phone Number of Contact at Off-Campus Study Program * - (###) - ### ####
Enter the phone number of your program adviser or the administrator of your off-campus study program. If you do not know who this person is, contact the Office of International Programs staff at Franklin & Marshall.