Short Term Program Travel Intent

Student Name

Student ID Number

Program Name

Major

City

Country

Start Date

End Date

I choose to arrive *BEFORE* the Start Date of the Program.

(I am choosing to arrive in said Country and/or travel to another Country of my own accord, and agree that my academic relationship with USF related to my participation in the USF Short Term Study Abroad Program begins on the official Start Date.)

I choose to depart *AFTER* the End Date of the Program.

(I am choosing to remain in said Country and/or travel to another Country of my own accord, and agree that my academic relationship with USF related to my participation in the USF Short Term Study Abroad Program ends on the official End Date.)

I certify that all of the information on this form is true, correct, and complete.