Short-Term Study Abroad Program Academic Approval Form

Short-Term Study Abroad Program Academic Approval Form

Faculty Leader(s): ______

Telephone & Email: ______

School: ______

I. PROPOSED PROGRAM

Program Title:

(It should reflect the disciplinary or interdisciplinary focus of the course as well as the place where it is taught.)

Location:

Approximate Dates:

Duration:

Number of faculty members/leaders:

Number of Teaching Assistants:

II. COURSE DESCRIPTION

(Approximately 100-150 words)

Course Title:

(It should specify Undergraduate or Graduate.)

Course Number:

Number of Credits:

Prerequisites (if any):

What course equivalencies and/or requirements can this course meet?

Minimum number of students:

Maximum number of students:

III. ACADEMIC RATIONALE

List goals and learning objectives and other elements of the curriculum as they relate to the course location. Identify lectures, readings, site visits, group discussions/reflection times, and cultural activities that are required parts of the course.

What teaching methods and other pedagogical approaches will you use and how do they facilitate the learning process to ensure that the course objective are met?

What pre-and post-departure activities/seminars/meetings will occur?

*Have you considered what steps you will take to ensure that your participants will arrive at their destination with an understanding of the culture and sensitivity to the people?

*Consult with OIP to determine how it can assist you to prepare your participants to be good ambassadors.

How does the site enhance your learning objectives?

How will assessment occur?

(For example: grades, papers, journals, field observations, etc.)

IV. FACULTY LEADER INFORMATION

What experience in the proposed location(s) and what contact does the faculty leader have in the host country?

Language(s) spoken:

Level of proficiency:

Previous study abroad:

V. ATTACH SYLLABUS AND PRELIMINARY ITINERARY

The syllabus should include the course goals and objectives, required and recommended readings, and course evaluation. Be as specific as possible in terms of length of time in each location, the various educational activities (lecture titles or topics, readings, site visits, etc.), and other culturally orienting activities.

VI. SIGNATURES

This course has the support and approval of the sponsoring department.

Comments:

Faculty Leader(s) Signature & Date:

Department Chair’s Signature & Date:

Dean’s Signature & Date:

The Dean’s signature indicates the understanding that any budgetary shortfall rests with the Dean/School.

Cancellation of Course/Study Trip decisions regarding whether this course and study trip have adequate enrollment rest with the School and Dean.

Updated July 29, 2008