Faculty-Led Academic Study Tour Proposal

FACULTY/STAFF TOUR LEADER INFORMATION:
Name*
First Last
Department*
Email*
Phone*
CO-LEADER INFORMATION:
Co-Leader #1 Name
First Last
Co-Leader #1 Department
Co-Leader #1 Email
Co-Leader #1 Phone
Co-Leader #2 Name
First Last
Co-Leader #2 Department
Co-Leader #2 Email
Co-Leader #2 Phone
ACADEMIC STUDY TOUR AND COURSE DETAILS:
Destination(s)*
Dates*
Academic Term*
Tour Company(s) if Applicable
In Country University Affiliate if Any
Course Number and Title*
Course Credit*
Enrollment Minimum*
Enrollment Maximum*
Student Eligibility Requirements*
Is this Study Tour Open to Community/State Participants?
- Yes
- No
Brief Tour/Course Description*
Attach a preliminary syllabus and tour itinerary including estimated costs to the University and to the student. Indicate any outside funding sources as well as what expenses are not covered in the tour package.
Phone
This field is for validation purposes and should be left unchanged.