Michigan State UniversityInternational Student Exchange Administration Agreement

In this document, units initiating exchanges with international partner institutions provide information and assign responsibility for the variety of tasks that must be accomplished before, during and after the execution of the exchange to best assure a successful experience for exchange students. It is expected that units will assure a balanced exchange over a five-year period. Finally, along with this document, all exchanges must be based on a written exchange agreement between MSU and the partner institution and must be approved by the Dean of International Studies and Programs (ISP).

1.GENERAL INFORMATION

A.International Partner Institution:

Name of principal contact person for exchange at partner institution:

Address:

Phone: Fax:

E-mail:

B. Primary unit at Michigan State University that will administer this exchange:

Department or College: Phone:

Responsible party:

Address:

Phone: Fax #:

E-mail:

Duration of proposed exchange agreement (up to 5 years, and renewable):

Duration of student stay at the partner institution (e.g. semester, summer only, academic year):

inbound student(s): outbound student(s): ______

Number of student participants anticipated annually:

inbound student(s): outbound student(s): ______

2.PROPOSED FIELD(S) OF STUDY:

At Michigan State University:

At the partner institution:

Will this program be open to students in other majors? _____ Yes _____ No

If so, list majors:

Type of students eligible (check all that apply):

InboundOutbound

Graduate Students

Undergraduate Students

Medical Students

Professionals

Other:

3.FACULTY:

A. MSU Faculty

Will MSU faculty escort the outbound MSU students? _____Yes _____ No

If yes, name of faculty member:

If different from person listed in 1B:

Address:

Phone:Fax #:

E-mail:

Is there any funding support for travel and/or accommodations planned for the outbound MSU faculty? _____Yes*_____No

*If yes, explain source, amount, duration of stay, and role faculty will play:

Name of MSU faculty supervisor(s)/mentor(s) for inbound students:

Address :

Phone: Fax:

E-mail:

B. Visiting Faculty

Will a faculty member escort the inbound international students? Yes____ No____

If yes, name of faculty member:

If different from person listed in 1A:

Address:

Phone:Fax:

E-mail:

Is there any funding support for travel and/or accommodations planned for the inbound visiting faculty? Yes* ____ No____

*If yes, explain amount, source, duration of stay and role faculty will play:

*Faculty must have correct visa status for MSU to pay reimbursement and/or MSU salary. (Questions should be referred to the Office for International Students & Scholars.)

4.CREDIT GRANTED

______Overseassection of MSU course (Requires presence of MSU faculty abroad)

______Exchange enrollment for grade (GSX) credit (Requires approval of Registrar’s Office)

______Exchange enrollment, not for grade (INX) credit

5.APPROVAL SIGNATURES

Over a five-year period, balance must be achieved in the exchange of students between MSU and the international partner institution.

______Date

College Dean:Date

______

James DorsettDate

Director

Office for International Students & Scholars

______

Inge SteglitzDate

ActingDirector

Office of Study Abroad

______Date

Steven D. Hanson Date

Associate Provost and Dean

International Studies & Programs

______

June YouattDate

Provost

April 2014