Office of Off-Campus Study
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Off-Campus Study Application

Fields in red are required.

Please note: any text you enter must not contain any quotes or apostrophes!

I. PERSONAL INFORMATION

First name:
Last name:
Preferred first name:
Sex: Female Male
Email address: @grinnell.edu
P.O. Box:
Graduation year:
Student ID:

II. MAJOR INFORMATION
Major:
Second major:

Current advisor
Last name:
First name:

Second advisor (double/independent majors)
Last name:
First name:

III. FIRST-CHOICE (or YEAR-LONG) PROGRAM INFORMATION
Desired semester(s):
Program name:
  or... Alternative program:
Program application deadline:
  or... Rolling deadline: Rolling deadline.

IV. SECOND-CHOICE PROGRAM INFORMATION
NOTE:You must list a second-choice program unless your academic adviser has agreed to submit Part VIII of the application, indicating an academic impediment to your studying off campus in a particular semester. In this case, enter “Exempt” in the alternative-program field and leave the rest blank.

Desired semester(s):
Program name:
  or... Alternative program:
Program application deadline:
  or... Rolling deadline: Rolling deadline.