Faculty/Program DirectorPrimary Faculty Director Name(Required)Office Location/Number(Required)Email(Required) Office Phone(Required)Cell Phone(Required)HCU Department(Required)Has the faculty run this program before?(Required) Yes No If so, when?(Required)Additional Sponsor(s) Information (Please see Facilitator Introduction and Guidelines for chaperone/sponsor requirements)Name(Required)Office Location/Number(Required)Email(Required) Office Phone(Required)Cell PhoneAdditional Faculty Director Responsibilities(check all that apply) Accept Students On-Site Teaching Provide a description of the lead facilitator’s personal experience with international travel and leading student groups outside of a traditional classroom setting. If the facilitator has not traveled abroad, please include details on preparation that would be needed to prepare for cultural and social uniqueness for the proposed host country.Lead facilitator’s international travel experience(Required)Study Abroad for CreditWill this abroad experience include a class for credit?(Required) Yes No Course InformationNumber of credits required for program participation(Required)Courses to be offered on the program(Required)(Please list each individual course title, course code, course number, and number of credits)123456Course 1(Required)Course 1 type(Required) Major required course Major elective General Elective Other Course 2(Required)Course 2 type(Required) Major required course Major elective General Elective Other Course 3(Required)Course 3 type(Required) Major required course Major elective General Elective Other Course 4(Required)Course 4 type(Required) Major required course Major elective General Elective Other Course 5(Required)Course 5 type(Required) Major required course Major elective General Elective Other Course 6(Required)Course 6 type(Required) Major required course Major elective General Elective Other Does this program compete with existing HCU Abroad offerings?(Required)If so, which ones?Contact Hours(Required)(How many contact hours will be met through classroom time and through field experiences)Frequency of Program Offering(Required)(Will you be offering this program only once? Annually? Biannually?)Student InformationStudent Type(Required) HCU Students Only Graduate Students Only Majors from which students are likely to be drawn(Required)Sponsoring department(s), college(s) and/or school(s)(Required)Language(s) in which courses will be taught (including English)(Required)Anticipated experiences included with program proposed(Required)(Check all that apply) Service Learning Community Engagement Internship Foreign Language Instruction Other Not Applicable
