Request to Change Approved Proposal
This is the form program directors should fill out if they wish to make any changes to their approved trip proposals. Changes may be made only once and should be submitted at least 12 weeks prior to program departure.
Primary Program Director Email Address:
*
please list only one email address here
Program Director(s):
Program Name:
Program Location(s):
Will there be any changes to the proposed dates?
Yes
No
New Proposed Start Date:
-
Month
-
Day
Year
New Proposed End Date:
-
Month
-
Day
Year
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Will there be any changes regarding the course offerings?
Yes
No
Course #
Course Name
# of Credits
Instructor(s)
Course 1
Course 2
Course 3
Course 4
Course 5
Any other course changes here:
Will there be any changes to the program itinerary?
Yes
No
Please list the changes here:
Will there be any changes to the proposed budget or minimum number of students?
Yes
No
Please list the changes here:
Will there be any changes not included in the options above?
Yes
No
Please list the changes here:
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Signatures
Please indicate all of the necessary approving indviduals below. If changes are being made to the offered courses, the relevant Academic Dean and Department Chair must approve. The Director of Learning Abroad will also be asked to approve every proposal adjustment.
Please indicate below how many Department Chairs will need to approve this revision:
Please Select
0
1
2
3
Please indicate below how many Academic Deans will need to approve this revision:
Please Select
0
1
2
3
Please indicate below how many supervisors will need to approve this revision:
Please Select
0
1
2
3
Department Chair Email 1:
*
please list only one email address here
Department Chair Email 2:
*
please list only one email address here
Department Chair Email 3:
*
please list only one email address here
Academic Dean Email 1:
*
please list only one email address here
Academic Dean Email 2:
*
please list only one email address here
Academic Dean Email 3:
*
please list only one email address here
Supervisor Email 1
*
please list only one email address here
Supervisor Email 2
*
please list only one email address here
Supervisor Email 3
*
please list only one email address here
Director of Learning Abroad Email Address:
*
please list only one email address here
If Directors have any additional documentation that they would like to supply, it can be uploaded here:
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