UW-La Crosse International Education & Engagement
Application to Teach Abroad
Program:
Term: Summer 2017
Applicant name:
Department:
Applicant #2 (if joint proposal):
Department:
Proposed Course #
Course Name:
Course description:
Rationale for teaching this particular course in the proposed location:
Learning outcomes:
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Describe your experience in teaching abroad and/or familiarity with the country:
Define the student target audience for the course:
Describe your plans to recruit students to the program. Be specific.
If submitting a joint proposal, what is the rationale of teaching this pairing of courses?
2
COMPLETE ONLY IF SUBMITTING A JOINT PROPOSAL
Applicant #2
Proposed Course #
Course Name:
Course description:
Rationale for teaching this particular course in the proposed location:
Learning outcomes:
3
Describe your experience in teaching abroad and/or familiarity with the country:
Define the student target audience for the course:
Describe your plans to recruit students to the program. Be specific.
Signature: Please print out your proposal, sign the document and send a scanned copy to:
international@uwlax.edu
My signature confirms that I have informed my department chair I am submitting a proposal to teach abroad
and have provided a copy of the proposal for their review if they wish.
_________________________________________
_________________________________________
Signature – Applicant #1
Signature – Applicant #2
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