Applicant: _______________________________________________ Email:_____________________

Program: 10 1 E UGAN
  N          Y Visa required? (always required for Brazil, China, India, Kenya, LdM, Russia, Uganda, Tanzania)
 


     Y   N     U.S. Citizen? (Citizenship: ______________)
 


     Y   N     90 or fewer days abroad?
 


 
 

Y          N

 Graduation Date is at least one semester after program end date? ___ / ___
 


 
 

STEP II

   
     
  Y          N

Course enrollment request is correct/meets course prerequisites.

Y   N   N/A   Able to attend all pre-travel course dates.

Y   N   INTRNTL 333 (optional)

Y   N   Human Services 325 (3)
            Y   N    Human Services 203
            Y   N    Human Services 310
            Y   N    a third Human Services course for a total of 9 units
            Y   N    Admission I

Y   N   Human Services 420
            Y   N    Completion of or concurrent enrollment in Human Services 410
            Y   N    Admission II

Y   N   Education Leadership 719
            Y   N    Admission into a graduate degree program

 


 
 

N          Y

 Special Student Form Required?  (__ undergraduate form OR __ graduate form)
    Y      N     UW Oshkosh student? (this includes those not taking for credit so that we can bill them on a student account)
    N      Y     UW Oshkosh undergr taking grad courses or UW Oshkosh grad taking undergrad courses? (requires GRAD form)
 


 
 

N          Y

 Credit Overload Form Required?
 


N      Y      N/A      Total number of credits, incl study abroad: 21 or greater (semester)
 


 
  Y          N G.P.A. ok? (minimum of 2.5 required; must check on TRANSCRIPT) ________ as of _____ /_____/_____
 


 
 

Complete  N

 Program-specific Materials Complete (STEP II)?
 


       Complete    Visa application - complete, signed in BLUE & dated 
 


 
  Y      N

STEP II Complete? ______/______/0_____ Time: _____:_____ am / pm 
 


        Y   Application complete date/time entered in db?
            Y   exceptions.doc completed/clipped to this checksheet?
     
  _____/____ sendtoDirectorReview
    _____/____ (circle one) Approved/ Notes: ___________________________________
     
  _____/____ sendtoProgramManagerReview
    _____/____ (circle one) Approved/ Notes: ___________________________________
     
  Complete   sendForFaculty/HostReview  OR  addToWaitlist  OR  assertReadyForConditionalAdmit
 


 

_____/____

 exceptions.doc and/or application (addresses; addl questions; education; courses; expectations; transcripts) forwarded
             Y   N   Applicant requires faculty/host approval?
             _____/____ circle one: approved / denied
     
 

STEP III

 
  Complete  N

STEP III and Program-specific Materials Complete?
Reminded / Complete    complete "medical" and "medical III" sections in on-line application NOW OR AFTER COND ADMIT
Reminded / Complete    complete "passport" section in on-line application OR submit copy of receipt NOW OR AFTER COND ADMIT
   

Reminded / Complete    2 passport-size photos with full name printed on the backs
     
 

Complete  N

 Student Reminded in Person: Program-specific Materials Required (after deadline)?
 


Reminded / Complete    By first Fri in Nov: signed passport valid thru June 15; at least TWO side-by-side blank pages
Reminded / Complete    By first Fri in Nov: International Inoculation Certificate against Yellow Fever
Reminded / Complete    On-line Summer Financial Aid Application (if Fin Aid is needed for summer rather than Spring)
     
  Seat Assignment
 

Y      N

 Seat assigned in db? ____/____
  ____/____ Special Student Form submitted to Admissions (undergrad) or Graduate Studies (graduate)
    Y / N Special Student Form required