Faculty-led Study Abroad Program Proposal and Approval Form

Center for International Education Study Abroad Office

PROGRAM LEADER AND ASSISTANT INFORMATION

Program Leader (s): Phone: E-mail:

Assistant (s): Phone: E-mail:

Sponsoring Department(s): School/College:

PROGRAM INFORMATION

Program Name: Program location(s):

Program Description (100-150 words as you wish for it to appear on website and other marketing materials):

PROGRAM TIMELINE

Short-term: Summer UWinteriM Spring Break

Long-term: AY Fall Spring

Program Dates (abroad): Total number of days:

(Please indicate departure, arrival and return dates)

Are these dates flexible? Yes No Group Flight (check one): Yes No

Pre- and post-program class meetings (on UWM campus): Total number of days:

Will the program be open to students from other universities? Yes No

Undergraduate students only Undergraduate and/or Graduate students

Minimum number of participants: Maximum number of participants:

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CREDIT AND COURSE INFORMATION AND APPROVAL

The courses listed below will be the only course(s) and credit(s) that study abroad students will be able to obtain with this study abroad program. The CIE study abroad office is responsible for registering all study abroad students.

Some schools and colleges, in order to offer graduate level credit, there must be a 700 course approved as part of this proposal. Please check with your department chair or dean to be certain you are offering the correct level of credit.

Course #1 Title:

(To be used in advertising materials, the UWM class schedule, etc., 35 characters max)

Number of Credits: Department Name:

Pre-requisites (if any): Check all that apply: 297 497 Other

Cross-listed Department: Check all that apply: 297 497 Other

(If applicable)

Course #2 Title:

(To be used in advertising materials, the UWM class schedule, etc., 35 characters max)

Number of Credits: Department Name:

Pre-requisites (if any): Check all that apply: 297 497 Other

Cross-listed Department: Check all that apply: 297 497 Other

(If applicable)

Course #3 Title:

(To be used in advertising materials, the UWM class schedule, etc., 35 characters max)

Number of Credits: Department Name:

Pre-requisites (if any): Check all that apply: 297 497 Other

Cross-listed Department: Check all that apply: 297 497 Other

(If applicable)

SIGNATURES FOR APPROVAL

Individuals proposing to lead programs are responsible for circulating their proposal documents and obtaining the appropriate approval signatures by posted deadlines. Proposals require department, school, and CIE signatures for all course and credit offerings final approval.

Department Chair (or School/College International Programs Review Committee) Date

Dean of Respective School/College Date

Department Chair #2 (if course cross-listing is desired) Date

Dean of Respective School/College #2 (if course cross-listing is desired) Date

Vice Provost for International Education, Center for International Education Date

Please note that the CIE Study Abroad Office will secure the Vice Provost’s signature

OSX:Users:eckmanm:Dropbox:OPP:Faculty:Study Abroad Proposal & Signature Form (F15).doc