Request to Change Approved Proposal

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

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:

Program Directors: Please fill in the relevant email information below, but leave the signature block empty. Once the form is submitted, the email recipient will automatically be sent an edit link and invited to sign their approval in the signature blocks provided below.

Director of Learning Abroad and/or Department Chair and Academic Dean: Please sign and date the section below after reviewing the proposed program changes. Signing signifies approval of the changes. Please do not make any other changes to the form without first consulting with the listed Program Directors.
Department Chair Email Address: *
please list only one email address here
Department Chair Signature:

Clear
Date of Signature:

Month Day Year
Academic Dean Email Address: *
please list only one email address here
Academic Dean Signature:

Clear
Date of Signature:

Month Day Year
2nd Academic Dean Email Address (if courses stretch across departments):
please list only one email address here
2nd Academic Dean Signature:

Clear
Date of Signature:

Month Day Year
Director of Learning Abroad Email Address: *
please list only one email address here
Director of Learning Abroad Signature:

Clear
Date of Signature:

Month Day Year
If Directors have any additional documentation that they would like to supply, it can be uploaded here:

Browse Files

Cancel of
Any additional comments:
Should be Empty:

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