Loyola University Maryland

Dean's Office Approval Form

Please do not submit this form without complete information. ALL FIELDS are required.

Name:

Email address:

Cell Phone:

Date of Birth (MM/DD/YYYY):

Student ID:

Class year

Major/minor:

GPA:

Are you now or have you been at any time in the past on academic or residence hall probation or suspension?

Yes
No

If you answered 'yes' to the question above, please provide a brief explanation.

Do you have a valid U.S. passport?

Yes
No

If yes, expiration date:

Which study tour would you like to register for?

In 150-300 words, please explain why you would like to go on this tour.

If that tour is full, which study tour would you consider next?

If you are applying for the Ireland study tour, please list the year and semester in which you completed or plan to complete the required pre-requisite (IS251, BH251, CS310 or CS312):

Dean's Office Approval Form

Academic Programs