The Office of Global Opportunities (OSU GO) within the Division of International Programs is responsible for assisting Colleges and Departments with developing and implementing credit-bearing programs that occur outside the U.S. or overseas. Of greatest importance is the health and safety of faculty and students who participate in these academic programs. As a result, OSU GO works closely with the Office of Risk Management, Office of Student Conduct & Care, Procurement & Contract Services and other campus units to ensure that faculty and students are well prepared and well supported throughout the program and upon return. Related to this, if the proposed destination has a US Department of State travel warning or a CDC Travel Notice, please consult with OSU GO before proceeding with your proposal.
Completed Proposal Forms and supporting documents may be sent to .
In addition to this proposal form, please include digital copies of the following items, even if in draft form.
☐ Course Syllabus ☐ Daily Itinerary ☐ Program Budget (using OSU GO’s template)
New Program Proposals are reviewed in AUGUST (early deadline – 8/1) and NOVEMBER (deadline – 11/1).
Campus-wide promotion and recruitment of students to faculty-led programs will begin in October and January.
☐ NEW Program Proposal ☐ Program RENEWAL (please indicate updates by marking the checkbox in the right column)
Program Title:(This will be used to promote the program.) / Click here to enter text. / ☐
Course Information: / Subject Code and Course Number / Course Title / Credits / Grading Method / ☐
Click here to enter text. / Click here to enter text. / Click here to enter text. / ☐ A-F
☐ Pass/No Pass
Click here to enter text. / Click here to enter text. / Click here to enter text. / ☐ A-F
☐ Pass/No Pass
Click here to enter text. / Click here to enter text. / Click here to enter text. / ☐ A-F
☐ Pass/No Pass
Destination(s): Country(ies) and City(ies) / Click here to enter text. / ☐
Start and End Dates: / Start: Click here to enter a date.
End: Click here to enter a date. / ☐
Program Duration: (number of days) / Click here to enter text. / ☐
Program Frequency: / ☐ Annual ☐ Biennial ☐ Other: Click here to enter text. / ☐
Department: / Click here to enter text. / ☐
Title: / Click here to enter text. / ☐
OSU Appointment: (current) / ☐ 9 mos. ☐ 12 mos. ☐ Other / ☐
Briefly describe your academic, cultural, linguistic experience with the travel destination: / Click here to enter text. / ☐
Briefly describe your experience with leading groups of students (domestically or internationally): / Click here to enter text. / ☐
Will this Program Leader need access to OSU GO’s online application system? / ☐ Yes ☐ No / ☐
Secondary Program Leader: / Click here to enter text. / ☐
Department: / Click here to enter text. / ☐
Title: / Click here to enter text. / ☐
OSU Appointment: (current) / ☐ 9 mos. ☐ 12 mos. ☐ Graduate Student ☐ Other / ☐
Briefly describe your academic, cultural, linguistic experience with the travel destination: / Click here to enter text. / ☐
Briefly describe your experience with leading groups of students (domestically or internationally): / Click here to enter text. / ☐
Will this Program Leader need access to OSU GO’s online application system? / ☐ Yes ☐ No / ☐
Additional Program Leader(s): / Click here to enter text. / ☐
Department: / Click here to enter text. / ☐
Title: / Click here to enter text. / ☐
OSU Appointment: (current) / ☐ 9 mos. ☐ 12 mos. ☐ Graduate Student ☐ Other / ☐
Briefly describe your academic, cultural, linguistic experience with the travel destination: / Click here to enter text. / ☐
Briefly describe your experience with leading groups of students (domestically or internationally): / Click here to enter text. / ☐
Will this Program Leader need access to OSU GO’s online application system? / ☐ Yes ☐ No / ☐
Are there plans to include any Accompanying Dependent(s)?
(Please review “Important Considerations regarding Accompanying Dependents”)
If Yes, please include the individual’s name, relationship to the Program Leader, and intended role. / Click here to enter text. / ☐
Include the program’s academic goals, activities, accommodations, setting, and any unique opportunities to interact with the host culture. / Click here to enter text. / ☐
What are your minimum and maximum enrollment targets? / Click here to enter text. / ☐
In addition to completing the OSU GO’s online application and being in ‘good academic standing’, please indicate what other criteria will be used to screen applicants:
(check all that apply)
Note: OSU GO’s minimum requirements include:
· Minimum GPA 2.5
· Unofficial Transcript / Optional Application Requirements:
☐ Online Recommendation Form (embedded in the OSU GO application)
If yes, how many? (1-3) Click here to enter text.
☐ Interview with program/faculty coordinator (recommended)
☐ Short Essays
If Yes, please indicate which questions below you would like to have
included:
☐ Please write a brief autobiographical sketch that includes your personal history, family background, work experience, travel experience and other factors which have influenced your personal development.
☐ Please state how your participation in this international program will contribute to your educational, career and personal goals.
☐ All participants have personal strengths and weaknesses. Please identify yours and describe how they are relevant to your participation in this international program.
☐ Please describe what interests you about this program. How will you be a strong addition to the program group?
☐ I would like to use an essay question not listed here. (please enter below) Click here to enter text. / ☐
Course Pre-requisite(s):
(Include language requirements, if any) / Click here to enter text. / ☐
Physical Requirements (if any): (e.g., extensive walking, trekking, snorkeling, etc.) / Click here to enter text. / ☐
Briefly describe how you plan to promote your program across campus and recruit student participants. / Click here to enter text. / ☐
Briefly describe the pre-departure meetings and/or coursework that you will you offer participants.
(OSU GO recommends at least 2-3 meetings with participants.) / Click here to enter text. / ☐
Briefly describe the post-program meeting(s) and/or coursework that you will offer participants. / Click here to enter text. / ☐
(check all that apply)
Include name(s) and link(s) to website(s). Please provide a brief description and how these providers were selected. / ☐ Education abroad co-provider (e.g. CIEE, etc.):
☐ International partner university
☐ Travel agent
☐ I would like OSU GO’s assistance with identifying logistical support
☐ Other: (please explain) Click here to enter text. / ☐
Student Housing:
Where will students stay during the program? (e.g. homestays, dorms, hostels, apartments, etc.)
Include name(s) and link(s) to website(s). Please provide a brief description and how these accommodations were selected. / Click here to enter text. / ☐
Program Leader Housing:
If different from student housing, indicate where the Program Leader(s) will be staying and how far it is located from the students’ accommodations.
Include name(s) and link(s) to website(s). Please provide a brief description and how these accommodations were selected. / Click here to enter text. / ☐
Meals:
Are meals arranged for the students? If not, where can students find their own meals/food? / Click here to enter text. / ☐
In-country Transportation:
What are the transportation arrangements for the trip? Please outline all air, water and/or ground transportation arrangements.
Include name(s) and link(s) to website(s). Please provide a brief description and how these forms of transportation were selected. / Click here to enter text. / ☐
Accessibility:
In reference to the logistics described above, are options available/accessible for students with mobility issues? / Click here to enter text. / ☐
Note: OSU’s international accident & sickness insurance plan has exclusions for certain activities: e.g. bungee jumping, skiing, rock-climbing, etc. / ☐ Program activities on water: swimming, snorkeling, diving, SCUBA, use of boats
☐ Collection of samples, animal research, students as research subjects*, delivering healthcare or other professional services, contact with environmental hazards (*Please consult with the OSU IRB.)
☐ Outdoor recreational activities: rafting, kayaking, zipline, etc. / ☐
Please include the physical and web address of the US Embassy in the proposed program location. / Click here to enter text. / ☐
Identify any specific safety & security and/ or health concerns related to the host city/country (e.g. rising crime, political unrest, malaria or other prevalent diseases, etc.) and what precautions will be taken to ensure student safety and well-being. / Click here to enter text. / ☐
Please include the location and address of nearest doctor or hospital(s) with English speaking doctors, if in a non-English-speaking country.
Note: On the U.S. Embassy website, locate “US Citizen Services”, “Emergency Services”, then “Medical Services”. / Click here to enter text. / ☐
Page 4 of 8 Office of Global Opportunities (OSU GO) – v: Final: April-2016