APPLICATION
Faculty/Staff International Professional Development Program
Office of International Affairs
As part of its commitment to promoting cultural awareness, the Office of International Affairs (in partnership
with the Office of Academic Affairs) offers Faculty/Staff International Professional Development Programs.
These opportunities are designed to provide Longwood employees with academically engaged international
experiences—similar to what students encounter while studying abroad.
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Full-time faculty/staff returning to the university the following fall are eligible to participate.
Completed applications must be signed by department chairs or supervisors and submitted by the deadline.
Participants must meet all requirements (includes including attending pre-departure seminars and a risk
session, doing reading and attending presentations while in the foreign country, and engaging in follow-up
activities such as presentations/scholarly articles/classroom unit upon return).
The first $350 is nonrefundable and is due upon acceptance into the program.
If a participant withdraws from the program, he or she must reimburse the university for expenditures (airline
tickets, deposits for hotels, excursions, tour operators, etc.). Additional monies might be withheld to prevent
an increase in price for others.
See http://www.longwood.edu/internationalaffairs/62390.htm for details about program learning
objectives, itinerary, and costs.
Name:
Position:
Years at Longwood:
Department:
Office Location:
Name of Chair or Supervisor:
Office Phone:
Cell Phone:
Home Phone:
Email Address:
If faculty…
Courses Taught:
(Number and title)
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Have you travelled internationally?
Will this be your first LU faculty/staff development program?
List the countries you have visited before:
Yes
Yes
No
No
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Please answer these questions as thoroughly as possible.
A. Describe the nature of your previous travel experience (domestic/international):
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B. Explain the reasons for your interest in this program:
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C. What are some of your personal learning objectives for this program?
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D. How might a new international perspective contribute to your work at Longwood?
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E. In what way will this destination or itinerary challenge you?
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F. What can you bring to the group learning experience?
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G. Why should you be selected for this program?
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I understand that traveling in the developing world is different than traveling domestically and
at times I may not have all of the usual comforts of home.
Yes
No
I understand that, while there is access to healthcare, it might be more limited that it is a home.
I should decide if my health will allow me to participate safely.
Yes
No
I understand that the itinerary has been developed with learning objectives in mind and that I
am participating in a student-like capacity. This requires me to adapt to the itinerary, daily
schedules, meals, etc.).
Yes
No
I understand that traveling in a group setting can be stressful and that I may not have the
personal space and alone time that I am used to.
Yes
No
I understand that the program is designed around best practices, and I might be asked to
change roommates, dine with different people each night, etc.
Yes
No
I understand that being flexible is important, as itineraries can change.
No
Yes
I understand that I am required to participate in all activities related to this program and that,
while travel will be enjoyable, this program is an academic experience.
Yes
No
I understand that if selected for this program I must meet the pre- and post-trip requirements. I
understand that my initial deposit is nonrefundable. Furthermore, should I withdraw from the
program, I am responsible for repaying Longwood for any nonrefundable money expended on
my behalf including, but not limited to, airline tickets, deposits for hotels and excursion fees,
tour operators, etc. I understand that additional money might be retained in order to prevent
the price to others from increasing. I understand that I must attend a risk session offered by the
Office of International Affairs and to purchase the required travel insurance policies. I must also
submit all required paperwork and payments by the deadlines requested. I have answered
questions honestly and to the best of my ability.
Name (signed): _____________________________________ Date: _____________________
I support the application of this faculty member. I believe that he/she will meet the pre- and post-trip
requirements and will benefit from this experience.
Chair/supervisor: (printed) _________________________ (signed) _____________________