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.

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Approximately how many students will participate in this trip?
Does this trip require a minimum or maximum number of participants?
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?
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?
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?
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.
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
Today's Date

MonthDayYear
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For Office Use Only
Select the status of this Student Travel Authorization Request.
Comments
Signature
Date

MonthDayYear
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College-Sponsored Student Travel Authorization

Travel Information

Trip Organizer Information

Academic Information

Financial Information

Marketing & Promotion

For Office Use Only