The University
Tour Committee__________ (or)
The College
Review Tour Committee______
Academic
School Year _____________________
Please answer the following questions. If any information offered below is only an estimate or approximation, please identify it as such. If additional space is needed to explain an item, continue it on an attached sheet; or contact the University Tour Committee chair to receive a downloadable application form that can be modified to provide the needed room.
1. Name
of study tour program (identify any academic course number associated with
the tour and credit hours to be earned)
2. Sponsoring
agencies (unit, college, or other administrative unit)
3. Faculty/staff
person in
charge and accompanying students on study tour
4. Other
faculty/staff accompanying and having responsibility for assisting with
the study tour
5. Number
of persons making trip [identify by (a) students, (b) faculty, (c) staff,
(e) others. Provide explanation for any persons in category 'e'
6. Destination
(if more than one city/country, list multiple locations in order of study
tour itinerary)
7. Study
tour travel dates from______________________ to________________________
8. Type(s)
of transportation (list types of transportation used during trip, including
any transportation students will be authorized to use at the study tour
site)
9. Purpose
of study tour program
10. Statement
of educational value of study tour program
11. Briefly
describe structure of the study tour program
12. Special
activities to be accomplished on study tour
13. Type
of medical insurance (e.g. SGA and/or personal)
14. Total
cost of study tour program for each participant (denote what activities
are included in total costs, e.g. airfare, hotel, airport pickup, number
of meals, tours, subway/bus passes etc.)
15. Is
each student expected to fund his/her total cost for the study tour (if
not, explain financing)
16. Indicate
how faculty/staff salaries and expenses for the study tour will be financed
17. Is
travel program arranged in whole, or in part, by a travel agency? If 'yes,'
identify the agency.
18. Are
services bid or is service a contractual agreement? If contractual, provide
specifics.
_______________________________________________
_____________________
Signature of faculty/staff
person in charge
_______________________________________________
_____________________
Signature of unit
head
_______________________________________________
_____________________
Signature of the
Dean of the College
Date
Recommendation
of University Study Tour Committee, or the College Study Tour Committee
(identify which) to the Vice President for Academic Affairs
Form
approved 10 October 2001