Out-of-Country Course Annual Report Office of International Programs Department: _________________________________ Course Title: College:___________________________________________ ___________________________________ Course Title: ___________________________________ Course Number: ___________________________________ Course Number: ___________________________________ Course Dates: Course Dates: ___________________________________ ___________________________________ Countries/States: __________________________________ Countries/States: __________________________________ Instructor(s): Instructor(s): ___________________________________ ___________________________________ Hours of Credit: __________ # of Students Enrolled: _________ Hours of Credit: __________ # of Students Enrolled: _________ Cost to Student: Cost to Student: Tuition & Fees: ____________________ Tuition & Fees: (per course) Travel & Lodging: ____________________ (per course) ____________________ Travel & Lodging: ____________________ (total divided by number of courses taken. ONLY include costs billed to students through SHSU. Ex: If airfare was NOT included in program price, then do not include that cost.) (total divided by number of courses taken. ONLY include costs billed to students through SHSU. Ex: If airfare was NOT included in program price, then do not include that cost.) Total Cost to student: ____________________ Total Cost to student: ____________________ (per course) (per course) Cost to University: Cost to University: Expense Paid by SHSU: _____________________ Expense Paid by SHSU: _____________________ (travel, meal, & other costs paid by SHSU divided by number of courses taught abroad excluding instructor salary. Do NOT include instructor costs that were charged to the students, ONLY include costs that were directly paid by the department.) (travel, meal, & other costs paid by SHSU divided by number of courses taught abroad excluding instructor salary. Do NOT include instructor costs that were charged to the students, ONLY include costs that were directly paid by the department.) TOTAL STUDENT COST: ________________ TOTAL SHSU COST: ________________