Technology-Assisted Global Experiences and Collaborations (TAGEC) Initiative Application Deadline: April 15, 2016 Applicant Information Name Title Department E-mail/Phone Relevant experience using technology in the classroom: (answer here) Relevant experience teaching global mindset and global business savvy: (answer here) Past collaboration with individual or office at partner institution or company: (answer here) Partner institution or company information Institution/company name City, Country Name of faculty/project manager Title E-mail/Phone Website Please explain why you chose this institution or company: (answer here) TAGEC Program Information Course number, title, credits Semesters to be offered Graduate or undergraduate? New or existing course? Course description Proposed deliverables Learning outcomes Technology needs Please describe the TAGEC activity to be included in the course: (answer here) Page 1 of 2 Grant Information Description of plans to make the program and partnership sustainable: (answer here) How students will present their learning/projects to a wider audience: (answer here) Strongly encouraged priorities addressed (if applicable): (answer here) Benefits, both institutional and individual: (answer here) Potential risks or challenges: (answer here) Other expected outcomes of grant: (answer here) Others involved in program team (if applicable): (answer here) Budget (answer here) Please attach the following supporting documentation: 1. Appendix A: Short bios of applicant, faculty counterpart at partner institution, and/or project manager at host company, other key personnel. 2. Appendix B: Smith School departmental letter of support 3. Appendix C: Faculty counterpart or project manager letter of commitment Page 2 of 2