Proposal for Faculty-Led Short-Term Study Abroad Program
Kirkwood Community College
International Programs
Deadline: May 1 for next Academic Year
Proposals should be submitted a minimum of 12 months prior to proposed program dates. Complete this form, attaching all
supporting documentation. Obtain signature from Dean and submit to International Programs. International Programs will submit
the proposal to the Study Abroad Review Committee for review and decision. Repeat programs must submit a proposal each year.
FACULTY INFORMATION
Faculty Lead Name:
__________________ Department_________________________
Faculty Shadow Name (If known):
Department_________________________
BASIC PROGRAM INFORMATION
Program Name:
_________________
Location (city and country):
_____
Program Dates and Academic Term:
__________________ _________
Program Type (circle all that apply): Faculty-Developed GEN
Third-party Provider Consortium of Colleges
Service
Other Program Type or Elaborate on Details of Program Type if needed: __________________________
ENROLLMENT INFORMATION (Minimum is 12. If lower than 12, include justification):
Target Enrollment: __
Minimum enrollment:
Maximum enrollment:
_____
LEARNING OUTCOMES:
1. Kirkwood Study Abroad programs, as a whole, are assessed by measuring the following student learning
outcomes. Please describe how your program will address these learning objectives and/or attach syllabus:



Compare/contrast components of home culture and host culture experienced through the study abroad program
Develop intercultural competencies and tools to enable the ability to move across boundaries and see the world from
multiple perspectives
Reflect and apply cultural learning obtained from the study abroad experience to one’s own academic discipline and/or
career direction.
2. Describe your overall program purpose and program student learning outcomes for this Study Abroad
Program
3. What is your rationale for offering this program in an international location? Outline the benefits of the
location to the course objectives.
Revised: July 10, 2014
COURSE INFORMATION:
1. Indicate the proposed course that will be taught by the lead instructor. Indicate catalog number, Title of
Course, Number of credits:
o
GLS-120 Education Experience Abroad - 3 credits
o
HUM-200 International Studies in the Humanities - 3 credits
o
Spanish Language
o
Other
2. Describe the instructional format, including a tentative lecture schedule, for the program. Attach
proposed syllabus, if possible.
3. Describe the academic requirements (papers, tests, etc.) and methods of evaluating students’
performance. Attach proposed syllabus, if possible.
4. List the required meetings (minimum 3) and assignments during the semester prior to the program, and
after students return? Attach proposed syllabus with details, if possible.
5. How are you qualified to direct this program? Have you traveled to this area/location before? Do you
have academic expertise in this area of study? Please include details.
6. All Study Abroad experiences meet the diversity requirement for all students. What cultural or other
activities are you proposing that would support this designation?
7. Does your proposed course meet any other of the distribution requirements for the AAS, AS or AA degree?
If so, how will you meet the student learning outcomes for that designation?
STUDENT RECRUITMENT AND SELECTION:
1. What are some strategies you will use for marketing the program?
2. Specify which students the program will target. If applicable, how does the program meet their curricular
requirements?
3. What criteria will you use to select students for eligibility to your program (i.e. GPA, essay, interviews,
other specific experience, prerequisites, etc). List criteria in order of importance.
Revised: July 10, 2014
LOGISTICS AND RISK MANAGEMENT:
1. Attach draft Itinerary with information about each day of the program and detailed activities on each day.
2. What living accommodations (apartment, homestay, hotel, etc.) are planned for students and for the
faculty? Please describe the arrangements.
3. Address here any specific health and safety issues/concerns related to the program.
4. What experience do you have leading groups of students on outside class excursions? Leading a study
abroad program requires 24/7 attention. Address your strategies.
5. What experience do you have in Emergency Response and or Crisis Management in a global setting?
Revised: July 10, 2014
BUDGET: Estimate Budget Per Student. These are just estimates and do not have to be exact at this point:
Housing (estimate per person/night cost X number of nights)
Air Transportation (one round trip air cost)
Ground Transportation (transportation to/from airport in-country, to/from program activities, etc.)
Faculty or Speaker Fees (specify here and divide by number of participants to get per student cost)
Industry Site Visit Fees (specify here and divide by number of participants to get per student cost)
Entrance Fees (specify here and divide by number of participants to get per student cost)
Arrangement Fees for vendors/partners/etc… (specify here and divide by number of participants to
get per student cost)
Kirkwood International Programs Cost includes Insurance and Phone Costs per Student
$100
Other (specify here)
TOTAL PROGRAM FEE ESTIMATE* PER STUDENT COST
Although tuition is not calculated here, be aware that students pay for tuition per credit in addition to program fees.
DEAN / DIRECTOR APPROVAL INFORMATION
This section requires Dean/Director signature approval for the proposal and for the assignment of both the faculty lead
and shadow. Indicate here approval of program and plan for compensation for each approved faculty leader and
shadow. Note: Faculty shadows do not receive compensation for teaching but absence must be approved.
Faculty Lead Dean Approval/Compensation Arrangements (check one):
The faculty lead is approved to fulfill the role of faculty lead for this Study Abroad program if approved under the
following arrangements for compensation:
o Summer Extended Contract already in place
o Study Abroad Summer Session Extension (Enrollment driven and eligible to faculty on 174 contract without a
summer extended contract)
o 201 Contract – Include In Load in Fall _______________ Spring______________ Summer______________
o 174 Contract – Include In Load in Fall _______________ Spring______________ Summer______________
o Pay as Overload in Fall _______________ Spring______________ Summer______________
o Other Arrangement/Notes
_________________________________________
Dean Name (Print):
Signature:
___________
Faculty Shadow Dean Approval/Compensation Arrangements:
The faculty shadow is approved to fulfill the roll of faculty shadow for this Study Abroad program if approved.
Dean Name (Print):
Signature:
_____________
Date Proposal approved by International Programs:__________
Date Proposal approved by Study Abroad Review Committee:__________
Revised: July 10, 2014