Global Experiential Learning Proposal (MGMT 427 and 527)

Calendar Term (Spring/Fall/Summer and Year):

Student Name:

Degree Concentration/Area of Study:

UNM Banner ID:

Primary UNM email address:

Name of sponsoring faculty and affiliated department:

Graduate or Undergraduate student?

Name of organization proposed working with:

Contact information for organization supervisor or point of contact (name, title, address, email, and phone):

Please indicate which category your proposal will apply towards (1-Internship; 2- Student Program; 3- Additional Study Abroad):

Total number of credit hours proposed (1-6):

Statement of purpose: in no more than 500 words why you wish to undertake the kind of experience you are proposing. In this statement, be sure to include your specific career goals and how you anticipate this experience will relate to those career goals.

Brief scope of work that describes the deliverables that you have agreed upon with your sponsoring professor. In many cases, we have created opportunities that already provide a menu of deliverables, depending on the kind of program you’ve selected. This will vary with each opportunity. Please refer to the 427/527 “how it works” guide for further details. If regular meetings take place, you may also use this as a deliverable outcome. For example, weekly meetings with faculty or a supervisor may serve as a deliverable outcome.

Deliverable 1: briefly describe (no more than 100 words) the deliverable and a proposed deadline for the deliverable

Deliverable 2 (optional):

Deliverable 3 (optional):

Basis for evaluation. In the following space, please indicate how the deliverables will be evaluated (this may be filled out by the sponsoring faculty once the scope of work is completed)

Affidavit of sponsoring faculty and student

I hereby agree to the terms of this proposed course and to the scope of work, deliverables, and basis for evaluation.

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Sponsoring Faculty Member (Print Name)Faculty Signature and Date

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Student (Print Name)Student Signature and Date