Study Abroad Program Proposal Form Question Title * 1. Please complete the following information: Name Title Email Address Department Preferred Phone # Question Title * 2. Please provide an abstract/description of this program. Question Title * 3. What are the primary objectives and student learning outcomes of this study abroad program? Question Title * 4. Please complete the following information in regard to your program: Program Location (City and Country) Proposed Program Dates Name the Faculty/Staff Members Leading This Program Question Title * 5. Who are the primary contacts you are working with at the site abroad? Please list their names and contact information. Contact 1 Name Contact 1 Email Contact 2 Name Contact 2 Email Question Title * 6. Who is your academic partner/provider for the program? Question Title * 7. Please check the boxes for all services this partner provides: Housing Meals Support services Risk management Other (please specify) Question Title * 8. Please type your name and the date below to confirm your submission: Name Date Question Title * 9. Important: All proposals require approval by a department head and/or dean. Please name the department head and/or dean who has approved this program: Department Head Name Department Head Email Dean Name Dean Email Done
