The University of Texas at Austin
Executive Vice President and Provost’s 2010 Initiative for International Studies
Faculty-Led Program Application Form
Please print this completed form and attach the materials listed below to it. Proposals must be signed by
both the faculty member’s Department Chair and Dean. Submit the proposal packet to Vice Provost Terri
Givens (Main 201, G1000) by the applicable deadline listed below. An electronic copy of your proposal
should be e-mailed at the same time to David Holmes, dwholmes@austin.utexas.edu.
Maymester deadline: Monday, Feb. 16, 2009
Summer deadline: Monday, Mar. 2, 2009
A complete proposal packet consists of:
1. This form, signed by your Chair and Dean, including responses to the questions on page two.
2. Course description(s) and syllabus/syllabi.
3. Sample program itinerary (see page two, question nine for details).
4. Teaching evaluation summaries for the last two years. Repeat programs must include the
summary for the prior year’s program. Summaries are available at
https://utdirect.utexas.edu/mec/cis
Name
UTEID
Academic Title
E-mail
Dept.
Campus Address and Mail Code
Proposal type:
 Maymester Abroad
 Summer Session Abroad
Maymesters only: Will you require a one-credit UGS course spring semester?
 yes
 no
Proposed Program Location(s)
Title and Number of Proposed Course(s)
Note: summer programs must grant six or more credits; please list all courses to be offered as part of this program.
Suggested departments for cross-listing course(s) (not required)
Course pre-requisites (must match on-campus requirements)
Alternate faculty member if you are unable to teach course
Dept.
Campus Address/Mail Code
Academic Title
E-mail
For repeat programs only: In which years has this program been offered?
Faculty-Led Program Application Form
Page 1
The University of Texas at Austin
Executive Vice President and Provost’s 2010 Initiative for International Studies
Proposal Details
1. Please explain your rationale for choosing the course(s) and the proposed location(s). How do you
expect the location(s) to influence your teaching and student learning? What are your academic and
program goals?
2. Please describe one or two possible excursions and their connection to the academic focus of your
course(s).
3. What is your experience in the proposed location(s)? When was the last time you visited this
location, and for how long?
4. Which student population(s) are you targeting and why will this program appeal to them?
5. What avenues are open to you through your department and college for reaching your target
group(s)? Will the course you propose satisfy a major or degree requirement for them?
6. How does the proposed program fit departmental and college goals of providing international
experiences for students?
7. Please briefly outline your experience teaching the proposed course(s) or similar courses at UT or
abroad.
8. Have you had experience teaching U.S. students in a foreign setting, or other analogous teaching
experience? If yes, please describe.
9. Please submit a syllabus and draft itinerary for the course(s) you are proposing. The itinerary should
include dates or number of days in all locations, including tentative excursions. The itinerary may be
incorporated into the structure of the syllabus if preferred.
10. For repeat programs only: please describe any changes you intend to make to the structure or
academic content of the program compared to prior years, if applicable.
Faculty-Led Program Application Form
Page 2
The University of Texas at Austin
Executive Vice President and Provost’s 2010 Initiative for International Studies
Faculty-Led Program Application Endorsements
A. Faculty member agreement
If selected to teach this program, I agree to:
a) actively recruit students to participate in the program during the fall and spring semester prior to
the program;
b) read, and carry out the responsibilities described in, the " Responsibilities of Faculty and Staff
Representing the University of Texas at Austin on Study Abroad Programs";
c) attend the training workshop for faculty program leaders;
d) administer the paper Course Instructor Survey prior to the conclusion of the program and strongly
encourage students to complete the Study Abroad Office on-line program evaluation. I
understand that these evaluations will be circulated to SAO staff and my Department Chair.
e) submit grades for each student at the end of the program, by the stipulated deadline;
f) submit an evaluative report of the program within 45 days of program completion; and
g) submit all receipts and any remaining funds to Business Services in the International Office within
30 days of completion of the program.
Signed:
Date:
B. Endorsement of Dean and Department Chair
The costs of travel (both international and program-related local), international medical insurance,
accommodations, nominal stipend, use of a cell phone, and other program activities for the faculty
program director will be included in the fee paid by student participants. Participating UT faculty
members will be paid a stipend equivalent to that of a normal six-week summer session course for
teaching a Maymester Abroad program; faculty receive summer salary for Summer Session Abroad
programs. If selected for Provost’s funding, ½ of the salary will be provided with the remainder to be
provided from the departmental budget.
Your signature below indicates that the Department/College endorses this program proposal and agrees
to fund all or ½ of the salary for this faculty member.
Department Chair (please print)
Signature of Department Chair
Dean (please print)
Signature of Dean
Faculty-Led Program Application Form
Page 3