Faculty Led Program Proposal Form Faculty Led Study Abroad Programs

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Faculty Led Study Abroad Programs
Faculty Led Program Proposal Form
FACULTY LEADER INFORMATION
Main Faculty Leader: ______________________________________ Email:_______________________ Phone:_____________________
Replacement Faculty Leader: _______________________________ Email:_______________________ Phone:_____________________
Second Faculty Leader (optional): ____________________________ Email:_______________________ Phone:_____________________
Third Faculty Leader (optional): ______________________________Email:_______________________ Phone:_____________________
Are All Faculty Leaders Graduate Faculty Members?
□ Yes
□ No
COURSE INFORMATION
Department Code(s) and Course Number(s): _______________________________________ Number of Credit Hours: ____________
Course Title(s): ____________________________________________________________________________________________________
Year: ______________________________ Term:
□ Fall Semester
□ Spring Semester
□ Summer Semester
Course Start Date (MM/DD/YYYY): ____________________________Course End Date: ________________________________________
On-Campus Meeting Dates (pre- and post-tour):________________________________________________________________________
Target Audience:
□ Undergraduate
□ Graduate
□ Other
Prerequisites:
□ Same as Catalog
□ Minimum 2.5 GPA
□ Instructor Permission
□ Other (Please Specify):_____________________________________________________________________________________________
Are You Willing to Accept Non-Credit Participants?
□ Yes
□ No
If Yes, will you waive the audit (tuition) fee for these participants?
□ Yes
□ No
Are You Willing to Accept Non-K-State Students?
□ Yes
□ No
STUDY TOUR INFORMATION
Study Tour Period:
□ Fall Break
□ Winter Break
□ Spring Break
□ Summer
Departure Date: __________________________________________ Return Date: ____________________________________________
Host Location(s) (Cities and Countries): ________________________________________________________________________________
Who Will Book Travel?
□ Faculty Leader(s)
□ Travel Agent:___________________________________________
□ Another Institution:_______________________________________ □ Third Party Provider:_____________________________________
Do You Expect to Repeat this Program?
□ Yes
□ No
If Yes, How Often?_________________________
Study Abroad Office | 304 Fairchild Hall, Manhattan, KS 66506 | 785-532-5990 | Fax: 785-532-6550 | [email protected] | www.k-state.edu/studyabroad
08/15
ADDITIONAL INFORMATION REQUIRED
□
Number of Advertising Cards Desired
(Maximum of 50):__________________
□
Course Syllabus
□ Course Description
□ Student Learning Outcomes
□ Required Textbooks (If Any)
□ Required Assignments
□
Study Tour Daily Itinerary
□ Start and End Dates
□ Academic Activities
□ Excursions
□
Program Expenses Budget
□
Cost Documentation for Airfare, Lodging,
Transportation, and Excursions
□
Compensation Contract for Faculty Led
Courses Abroad (One for Each Faculty Leader)
□
Implementation Plan (One Page)
□ Marketing and Recruitment Plan
□ Target Audience
□
Electronic Files of All Proposal Materials
□
Supplemental Information (Provide Attachments)
□ Contact Information for Main Leader While Abroad
□ Addresses and Contact Information for All
Accommodations Abroad
□ Contract from Travel Agent, Other Institution, or
Third Party Provider (If Needed)
□ Contact Information for Travel Agent, Other
Institutions, Third Party Providers, Organizations,
or Governments Involved
□ Information regarding Expected Non-Student
Participants (Assistant Staff or Students, FacultyLeader Family Members or Guests, Community
Members)
□ Travel Warning Statement
□ Documentation for Driving Abroad (If Faculty
Leaders Intend to Drive)
PROPOSAL SUBMISSION DEADLINES
STUDENT APPLICATION DEADLINES
Course Semester:
Fall Semester
Spring Semester
Summer Semester
Course Semester:
Fall Semester
Spring Semester
Summer Semester
Proposal Due:
December 1 (of the Prior Year)
May 1 (of the Prior Year)
August 1 (of the Prior Year)
Application Due:
March 15 (Prior to Term)
October 1 (Prior to Term)
February 1 (Prior to Term)
ACKNOLWEDGEMENT OF POLICIES AND PROCEDURES
Faculty Leader Initials: ___________ I have read and understand the Faculty Led Programs Summary of Policies, Procedures, & General
Information on the Kansas State University Study Abroad Office website at http://www.k-state.edu/studyabroad/about/policies.html.
APPROVAL SIGNATURES
Main Faculty Leader: ___________________________________________________________ Date: _____________________________
Second Faculty Leader (if any): ___________________________________________________ Date: _____________________________
Third Faculty Leader (if any): _____________________________________________________ Date: _____________________________
Department Head:______________________________________________________________ Date: _____________________________
College Dean: __________________________________________________________________ Date: _____________________________
Note: Signatures are required from Department Heads and College Deans whose units will grant credit for the course.
OIP Office Use Only:
Accountant for Faculty Led Programs: ______________________________________________________ Date: _________________________________
Faculty Led Programs Coordinator or Advisor: _______________________________________________Date: _________________________________
Director of Study Abroad:_________________________________________________________________ Date: _________________________________
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