Berry College 2017 Short-Term International Programs Proposal

This form should be completed in conjunction with reviewing the SIP handbook, linked from www.berry.edu/academics/study/page.aspx?id=17898

Faculty Director Department Ext.

Email OT Account Number (if known)

Personnel

After reading the Faculty Director responsibilities on pages 4-5 of the SIP handbook, list the relevant qualifications of the Faculty Director:

Each SIP has a Program Assistant to provide back-up assistance in the event of an emergency. If more than one faculty member will be teaching on the program, you will serve as each other’s assistants. Please list the name and relevant qualifications of that person:

Emergency contact for Faculty Director and Program Assistant (if not based in host country) on the program. Include name, relationship, 2 telephone numbers and email address of someone we can contact on your behalf in case of an emergency:

Course name(s), number(s) & number of credits for each

Note: Students may enroll in up to two classes in a program. Students wishing to take more than two classes in a program pay full tuition for each additional class, as well as the program cost.

Because policies change over time, faculty need to be aware of these changes by reviewing the faculty director handbook, http://www.berry.edu/academics/study/SIP_info.asp. When designing your program, please address the following.

A. Location

1. In which country or countries will the program take place?

2. State relevant visa requirements and process for obtaining visa.

3. List passport validity requirements for each country (see http://travel.state.gov/content/travel/english.html and enter name of country):

B. Itinerary & Travel

1. Proposed dates of program:

2. Indicate which agent or provider (if any) is assisting in organizing the program, providing transportation or other services, and their contact information. Attach any references, proof of insurance, certifications, etc. you received for this provider.

3. Complete the chart as applicable to your program:

Date(s) / City, Country visited / Activities* / Accommodation name, address, contact information

* State the faculty director’s plans for organized activities (lectures, guided tours, classes, etc.) if any, in cities the group visits. Also indicate any “risky” activities scheduled, such as zip-lines, SCUBA, etc. and whether participation by students is required.

4a. Is a home-stay included in this program?

4b. If yes, please address the following:

a.  place & duration of the home-stay and number of students per home:

b.  how host families were selected (by whom, criteria, etc.):

c.  other forms of interaction expected (i.e., conversation at meal time, family outings, household responsibilities):

d.  if a grade is to be given based on a home-stay experience, briefly state the criteria that will be used to assign the grade:

e.  contingency plans for helping a student when a family situation is not working as expected or, alternatively, if the family has a grievance:

5. Arrangements for all domestic and international flights by the group, including travel agency information, proposed dates and airports involved (specific dates and flight numbers will be requested closer to travel):

6. Arrangements for other travel by the group not included in point 2, including tentative dates and an indication of the mode of transportation. Attach any references, proof of insurance, certifications, etc. you received for this provider.

7. Indicate which periods of the program, if any, are appropriate for independent travel and free time:

8. Indicate your policies regarding independent travel before and after the program (a waiver is available for students engaging in independent travel):

9. Name the institution(s) where classes will be held (including Berry College) and contacts you have at the institution(s). Provide email address and phone number for each. If working with a liaison (and different from question 2), indicate that person and contact information here:

Date(s) / Institution / Contact name / Email / Tel. number

10. Will you or the Program Assistant be operating a motor vehicle on this program?

If yes, please provide details (type of vehicle, whether students will ride in the vehicle, etc.)

11. Upon arrival to the host country, how will the group reach the accommodation from the airport?

Upon departure from the host country, how will the group reach the airport from the accommodation?

12. Please list any expectations of physical requirements participants in the program must meet. Be sure these are listed on any marketing materials you distribute.

C. Cost Please attach budget - see budget template at http://www.berry.edu/academics/study/documents/SIP_Budget.xls and note second worksheet to account for family expenses. Other budget formats will not be accepted.

1. Estimated program cost. Programs must cost at least the price of tuition before the credit hour fee is added. The estimated summer 2016 tuition fee is $600 per credit hour. Use the following template for each number of credit hours offered.

a.  Number of credit hours:

b.  Basic program price before credit hour fee (refer to budget):

c.  Multiply the number of credit hours in a. by $600:

d.  Does the figure in b. match or exceed the figure in c.? If it is less, raise the basic program price to the figure in c:

e.  Total credit hour fee (currently $100 per credit but subject to change):

Total cost of program per student (program price line b. + credit hour fee line e.):

2. How much money should students budget for meals not included in the program cost?

3. List any meals that are not included in the program and arrangements for these meals.

4. Estimated additional costs (if any) to students, make clear which are:

a. optional but enriching to their educational experience:

b. entirely optional:

5. When completing the following, please ensure adequate funds will be available in the program’s OT account prior to making purchases.

Nonrefundable deposit amount and deadline:

2nd payment amount and deadline:

3rd payment amount and deadline:

4th payment amount (if applicable) and deadline:

D. Orientation

1. Number of pre-departure and on-site sessions and topics to be covered:

2. List resource persons participating in orientations.

3. State your re-entry/reunion plans for the students (usually in the fall).

E. Risk Management

1. Provide a phone number where you can be reached on-site, 24/7:

2. List hospitals close to your site(s) and their addresses/phone numbers, using the resources at https://www.wellabroad.com/

3. List an English-speaking mental health professional available at each site, with addresses/phone numbers, using the US Citizen Services tab on the US embassy website for the host country. Find an embassy at http://www.usembassy.gov/.

4. Using resources under “Reports” at www.osac.gov, identify the on-site local risks, threats and dangers for each country in which your program takes place. These could range from pickpocketing to terrorism to severe weather.

5. How you will respond to each one? (Consult local resources, US embassy/consulate, your program provider, etc. for information to answer this question.)

6. In an emergency, how will the group communicate?

7. For each location where you are staying, identify primary/secondary meeting points for the group during an emergency:

8. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (the Clery Act) now includes study abroad programs. See SIP handbook for details on completing the chart; add lines as necessary.

Dates / Location / Police precinct address

9. Which Program Director/Assistant will accompany the students from the US to the host country?

Which Program Director/Assistant will accompany the students from the host country back to the US?

F. Other

1. Please attach your syllabus. Course syllabi should include student outcomes and assessment procedures.

2. Complete and attach the credit hour log for each course being taught on the program.

2. Will any members of the faculty directors’ families be traveling with the group? Please list full name, date of birth and relationship of each:

3. Will you be taking Berry College equipment on your program? If yes, please describe:

Please email a copy of this form, your budget, syllabus/i and credit hour log(s) to by September 15, 2016, for review by IP Committee.

I have read the SIP handbook and addressed any questions to the IP Director.

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Faculty Director/Assistant Director Date

The following sign and date (in order). Provost is requested to return signed form to IP, Box 5032.

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Department Chair Date

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School Dean Date

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International Programs Director (for IP Committee) Date

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Provost Date