Faculty-Led Study Abroad and Service Learning
Course Proposal
Please provide the following information about the course proposal for review by the Council on International
Programs. Feedback by the Council on this preliminary proposal will assist in program development and
completion of the course plan. Submit this form and attachments with the required signatures (Department
Chair and College Dean) to Amy Wang, Director of the International Office.
Attachments to be submitted with this proposal:
 Draft course syllabus
 Draft/sample travel itinerary for the trip, including cultural excursions
 Proposed budget sheet
Name of the faculty submitting the proposal:
College:
Department:
Telephone No.:
Email address:
Name(s) of faculty/staff traveling with the group:
Course title:
City(ies) and Country(ies) of proposed course:
Do you have alternative funding options/sources? [ ] Grant
[ ] Donation
Other
1. Provide a brief summary of the course. The summary should include purpose, learning objectives and
describe why/how study site was selected.
2. What is your own linguistic, cultural, and /or academic experience with the travel study destination? If you
have limited experience with the destination, explain how you plan to maximize student safety (for
instance, will you be using a local tour company, tour guide or study abroad provider?)
3. If this is renewing an existing course, describe what you have learned from leading the program in the
past, include changes you will make to become a better facilitator/faculty leader in the future.
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4. For whom is the course designed (undergraduate/graduate students, students with a certain program area or
major, etc.) Will there be any priority order when accepting students to the course? What criteria will be
used (e.g. prerequisites, class standing, GPA)?
5. Please list the course(s) that you propose to offer and the corresponding prerequisite(s), if applicable.
Course Number, Title, and
Number of Units
Prerequisite Course Number
and Title
Course Number, Title, and
Number of Units
Prerequisite Course Number
and Title
Course Number, Title, and
Number of Units
Prerequisite Course Number
and Title
6. Do you intend to integrate community engagement, service learning, internships and/or field research for
credit? If yes, provide description of how this will be completed.
7. Provide a brief description of the excursions and how they tie into the coursework and learning objectives.
8. How is the proposed length of the course conducive to achieving the stated learning outcomes?
9. Do you expect to recruit at least 10-15 Cal State L.A. students to participate in your course?
[ ] Yes
[ ] No
10. What is the maximum number of students you can accommodate in your course?
11. How do you plan to meet the enrollment requirement?
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12. Will your travel arrangements (e.g., accommodations, meals, excursions, airfare, etc.) be managed by an
independent provider, a foreign university, or a travel agent? Please provide details.
13. Housing: Where will be the students stay during the study abroad experience?
14. Meals: Are meals arranged for the students? If not, where can students find their own food?
15. Transportation: What are the transportation arrangements for the trip? If traveling from location to
location, what means of transportation will be used?
16. Safety/security: Please give a brief synopsis of the status of the security of the country, both politically and
medically, as obtained from the Department of State. What arrangements have been made to maintain the
safety and security of the students throughout the program?
17. Is the host country on the U.S. Department of State Travel Warning List? [ ] Y
[ ]N
For a complete list of countries on the Travel Warning List, visit: http://travel.state.gov/travel/
Faculty Member Signature:
 I understand I must work with the International Office to recruit students to enroll in this course and will
make myself available to participate in recruitment workshops, information sessions, and speak with
students individually.
 I agree to conduct a pre-departure orientation in coordination with the International Office to cover safety
and risk management issue and required CSU forms.
 I understand that I must work with the Department Chair on any needed curriculum/course approvals.
 I understand the evaluation process is mandatory and agree to participate.
Faculty Signature
Date
Department Chair Recommendations:
I understand that the International Offices needs preapproval to continue to develop this program with the faculty
named above.
I support the development of a special sessions course(s) in collaboration with the College of Professional and
Global Education and acknowledge that this will be a self-support program in which State funds are not utilized.
or
I support the development of a Stateside program and understand that faculty will receive their normal teaching
salary through the department/college as if they are teaching on campus. I further understand that the faculty may
be teaching at reduced teaching load while abroad.
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I additionally verify that:

The proposal and class(es) intended meet academic standards and are consistent with mission, goals and
resources of the department.

The faculty member will be engaged in the proposed program for the duration stated in the proposal.

Leading a Cal State L.A. faculty-led course requires that faculty member possess administrative, diplomatic
and leadership skills to work collaboratively with the International Office, overseas institutions and
partners, and students. The faculty member has demonstrated that they have these skills appropriate for the
program they are proposing.

The faculty member has maintained positive student evaluations and/or other indicators of teaching
effectiveness.
Recommended
Department Chair (or designee)
Not Recommended
Date
Recommended
College Dean (or designee)
Not Recommended
Date
Recommended
Chair of the Council on International Programs
Not Recommended
Date
Senior International Officer Approval:
Recommended
Dean, College of Professional and Global Education
Not Recommended
Date
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