Study Abroad Course Proposal

College-Sponsored Student Travel Authorization

Complete this form to submit a student trip for review.
Travel Information
Travel Start Date*

MonthDayYear
Travel End Date*

MonthDayYear
Travel Destination*
Travel Destination Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe the purpose of this trip.*
Describe the travel destination and explain how it was evaluated for safety.*
Describe the transportation and/or lodging arrangements.*
Upload a travel itinerary including dates, times, and planned activities.*

Browse Files
pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Approximately how many students will participate in this trip?*
Does this trip require a minimum or maximum number of participants?*

YesNo
What is the maximum number of participants this trip can allow?*
What is the minimum number of participants this trip can allow?*

Trip Organizer Information
Trip Organizer Department*
Trip Organizer Supervisor's Mid Mich Email*
example@midmich.edu
Trip Organizer Name*

First NameLast Name
Trip Organizer Mid Mich Email*
example@midmich.edu
Trip Organizer Phone Number*

Area CodePhone Number
Describe your relevant experience organizing and leading student travel.*
Is there a Secondary Trip Organizer?*

YesNo
Secondary Trip Organizer Name*

First NameLast Name
Secondary Trip Organizer Mid Mich Email*
example@midmich.edu
Secondary Trip Organizer Phone Number*

Area CodePhone Number

Academic Information
Is this trip part of an existing course or a proposal for a new course?*

This trip is part of an existing course.This trip will be a new course.This trip will be a new destination within an existing course.
Provide the existing or proposed Course and Section Number(s).*
Describe how the travel destination was evaluated for educational value, overall learning benefits, and how the trip will meet course learning outcomes.*
Explain how students will earn academic credit by participating in this trip.*
How many credit hours will students earn who successfully complete this course?*
Include any additional information about the trip and its relation to learning outcomes and the student experience that you'd like to share.

Financial Information
Is this trip a Study Abroad/Away Course?*

Yes, I plan to travel out of Michigan or the US for 7+ days.No, I'm sticking closer to home!
Which travel expenses do you anticipate will be covered by the College’s budget?*
What is the funding source for the expenses noted above?*
Which travel expenses do you anticipate employees will need to pay for out-of-pocket?*
Which travel expenses do you anticipate students will need to pay for out-of-pocket?*
What is the estimated airfare cost per student?*
What is the estimated airfare cost per student with leader expenses?*
What is the estimated room/board/transportation cost per student?*
What is the estimated room/board/transportation cost per student with leader expenses?*
Estimated Travel Fee Per Student*
Estimated Travel Fee Per Student with Leader Expenses*
Estimated In-District Tuition*
Estimated Out-District Tuition*
Estimated Total In-District Cost Per Student*
This field is read-only and is populated by a calculation.
Estimated Total Out-District Cost Per Student*
This field is read-only and is populated by a calculation.
Estimated Total In-District Cost Per Student with Leader Expenses*
This field is read-only and is populated by a calculation.
Estimated Total Out-District Cost Per Student with Leader Expenses*
This field is read-only and is populated by a calculation.
Estimated Study Abroad Course Trip Leader Transportation Expenses*
Estimated Study Abroad Course Trip Leader Lodging Expenses*
Estimated Study Abroad Course Trip Leader Total Expenses*
This field is read-only and is populated by a calculation.
Estimated Cost to Student for Study Abroad Course Trip Leader Expenses*
Estimated Study Abroad Course Trip Leader Subsidy*
Current Flight Costs*
Flight Description/Notes*

Marketing & Promotion
Do you, as the Trip Organizer, plan to promote this trip to students or the community using channels like Mid's website, online registration forms, social media, etc.*

YesNo
That's so exciting and we're eager to help! Who is the target audience for this trip?*
The College's Strategic Communications team assists with the promotion of trips and collaborates with you to determine which of the following services are appropriate for your planned trip.
- Online Forms
- Website Event Listings
- Specific Web Page Creation & Updates
- Information Session Promotion
- Social Media Posts, Events, & Groups
- Flyers
- Targeted Emails to Students
- Campus TVs
Strategic Communications recommends beginning promotion two to three months in advance of any initial deadlines.

Questions? Contact Strategic Communications by emailing stratcomm@midmich.edu.

That's it! Within five working days, you should receive notice via your Mid Mich Email regarding the status of your travel authorization. If you have questions regarding the status of this submission, email academics@midmich.edu.
Signature*

Clear
Today's Date*

MonthDayYear
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Academic Affairs at (989) 386-6603 or academics@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

For Office Use Only
Select the status of this Student Travel Authorization Request.*

ApprovedPending Changes/QuestionsNot Approved
Comments
Signature*

Clear
Date*

MonthDayYear
Should be Empty:

College-Sponsored Student Travel Authorization

Travel Information

Trip Organizer Information

Academic Information

Financial Information

Marketing & Promotion

For Office Use Only