Customized Programs Questionnaire

General Program Details

Name of Person Completing this Form

Preferred Email

U.S. Institution

Program Title

Course Title and Course Code at U.S. Institution

Credit Hours Offered at U.S. Institution

Proposed Host Country

Note: It is not possible for TEAN to arrange travel to countries for which a State Department travel warning exists.

Proposed Start Date of Program

Proposed End Date of Program

Preferred / target cost of program as billed by TEAN per student

Not including airfare and home university expenses.

Why have you selected this location for this particular course?

Do you have a suggested itinerary for the program?

Yes

No

Please upload the itinerary.

Maximum upload size: 104.86MB

Has this program been approved by your host university/college?

Yes

No

If no, when do you anticipate approval?

Is this course stand-alone or embedded in a course taught on-campus?

Is this a one-time program or do you anticipate it being offered annually?

Is this a new program or a repeat program?

New Program

Repeat

If a repeat program, please provide details on the previous program including year, number of participants, cost, anticipated changes, and a sample itinerary.

Academic Framework

Please list the learning outcome objectives for this program (we will also use these objectives when approaching partners in the program location. Example: Students will explain how Thailand’s political system, Buddhist religion, and geographic location have influenced its economic performance).

1

2

3

4

5

Please attach the course syllabus

Maximum upload size: 104.86MB

Please share a draft if final syllabus is not yet available.

How will these program objectives be assessed?

Please list non-academic program objectives. For example: At the conclusion of the program, students will develop self-awareness; adapt to cross-cultural situations; consider future international study abroad and/or travel opportunities; etc.

What is the target student’s academic background and how will they benefit academically from completing the program abroad?

Total number of faculty or staff on program.

Has the faculty member(s) led programs abroad before?

Has the faculty member who will be running the program spent time to in the proposed host country previously? Please provide details.

What qualifications does the faculty member have to lead such a program and the specific course being taught?

Do you require any training for faculty leaders?

Please list any known field trips, industry visits, cultural activities, etc. that you want incorporated in the program. Please detail any local connections that you may already have.

Who will be providing the academic content of the course?

Program Leader Only

Guest Lecturers/Industry Specialists Only

Combination of Program Leader and Guest Speakers

Please indicate what type of transportation is preferred for your program:

Private Coaches Only

Public Transport Only (besides airport arrival/departure transfers)

Combination of Private Coaches/Public Transport

OtherOther

Where do you anticipate academic content delivery to occur?

Classroom setting in university campus

Conference room setting

On-Site (Field Trips, Industry Visits, etc.)

Home University Instruction (Pre- or Post- program)

Mark all that apply

Number of days requiring lecture/classroom space

Hours per day requiring lecture/classroom space

A/V setup required? If yes, please list requirements

How do you envision out-of-classroom activities to be integrated with in-class work?

What feedback will students receive throughout the program regarding their class work and exams?

Program Recruitment

Estimated number of participants for this program from your university/college

Do you have university-mandated minimum/maximum numbers for the program?

Yes

No

Minimum

Maximum

1 faculty for every _____ students

Please outline your recruitment strategy to meet minimum student numbers.

Would you like The Education Abroad Network to promote this program to other universities and colleges?

No

Yes

Note: TEAN is not responsible for meeting recruitment goals.

If yes, how many students would you be willing to accept?

Student Preparation & Support

Do you require TEAN to help provide pre-departure materials?

Yes

No

Do you plan on running an on-campus pre-departure session?

Yes

No

Is attendance a requirement to participate on the program?

Yes

No

Please outline any additional pre-departure information provided to student including program requirements, living and travel arrangements, safety and health considerations, and other expenses.

What pre-departure information is provided to parents and guardians?

What are the student and faculty disciplinary codes and processes and how are all participants made aware of these expectations?

What is the U.S. institution’s process for decisions about code of conduct violations?

Are students required to have health and repatriation insurance to complete the program? Is this organized by the US institution or will students be purchasing individually?

Upon return, how will students be encouraged to share their experiences with other students at their home institution? What opportunities are available to discuss their time abroad?

Program Logistics

If there is more than one faculty member and/or a student assistant on the program, will all costs be covered for the second leader/assistant as outlined above?

What are your expectations and requirements for in-country staff and representatives?

Unsure

With the group 24/7 each day of the program

Available on call to troubleshoot logistical issues and general questions

With the group on select days (e.g. arrival day, field visits)

Mark all that apply

Will you require TEAN to arrange international and/or domestic flights for the group?

Yes, international only

Yes, international and domestic (within destination)

No

If you require TEAN to research group flight options, please indicate the preferred departure city.

If TEAN is not arranging flights, will flights be arranged through the home institution or will students be making their own travel arrangements?

Home Institution

Independent Arrangements

OtherOther

Preferred Accommodations

Who do you require internet access within accommodations for?

Faculty

Students

Please indicate which meal options you prefer

All Meals (Breakfast, Lunch, Dinner for entire program) - not recommended due to expense and logistics

Breakfast (All Days)

Lunches and Dinners (as part of group activities; flexible with total number of meals)

Lunches and Dinners (specific number of group meals to be included)

OtherOther

Note: Housing arrangements will dictate availability of breakfasts provided.

Proposal Presentation and Final Agreement

Please indicate the following deadlines for your home institution:

Preliminary Proposal with Initial Budget

Final Budget

Period of Application Acceptance for Students

Final Deadline for Program to Run

Final Invoice from TEAN

Will a formal contract be required to finalize the program arrangements?

For most proposals, TEAN will quote the final price in local currency (i.e. Australian dollars, Chinese Renminbi). How will the U.S. institution quote the cost to students and account for potential price increases?

Post-Program Evaluations

TEAN will provide a final evaluation of the program for faculty members (unless administered by the home university). TEAN can similarly administer student surveys, as required. Does your institution have procedures in place for post-program evaluations?

Faculty

Students

Contact Details

Please indicate all individuals that should be copied in on correspondence regarding the program, which may include faculty members, department heads, study abroad office personnel, etc.

Please provide contact details for the person responsible for invoicing inquiries.