College of Human Sciences

Site Visit Grant Program Application Form

2017-2018 Deadline: October 2, 2017

Applicant Information

Name:

Department:

E-mail address:

Current CHS position:

Please describe your previous experience leading groups of students:

Site Visit Information

Proposed location(s) (please list all cities and countries):

Do you have experience in the proposed location(s)? If so, please briefly describe it:

If you have previously visited the proposed location(s), when was your last visit?

Dates of proposed site visit:

Study Abroad Program Information

Working title:

Estimated length (days or weeks):

Estimated number of credits (one week abroad = one credit):

Would you utilize an existing ISU course number (if so, please note it below) or create a new one?

Anticipated time of offering (month(s) and year):

Details of Proposed Site Visit

Statement of need: Please provide a description of and rationale for the proposed site visit.

Student interest:Please provide evidence of student interest about the location and the proposed academic content and cultural opportunities for a study abroad program. This could be in the form of a needs assessment, survey, documented student requests or other supportable projections. Your evidence may be submitted as an attachment to this application.

Global engagement:How will your proposed site visit will explore multiple opportunities for study abroad program participants to engage with the local people, culture and environment at your destination?

Curriculum integration:How will your proposed site visit will allow for the development of a new ISU class or the internationalization of an existing ISU class that fulfills a degree requirement for participants (core course or elective)?

Sustainability:How will your proposed site visit allow for the development of a study abroad program that can be offered multiple times?

Multidisciplinary:Would your study abroad programappeal to ISU students in more than one major or college?What aspects of the program have a wider appeal?

Location:How would thelocation(s) support the academic learning outcomes of a study abroad program? Is your locationcurrently underrepresented in departmental, college or university offerings?

Mission:How will your site visit support the missions of the College of Human Sciences and Iowa State University?

Proposed Site Visit Itinerary

Please complete the table below with details of your travel arrangements and daily itinerary (add additional lines if necessary). The description column should include details about how the scheduled activity would provide an opportunity for participants to engage with the local people, culture and/or environment. The in-country contact column should include a name and e-mail address for each contact. Site visits are typically no more than one week.

Date / City and Country / Description of Activity / In-country Contact / Lodging Arrangements

Proposed Site Visit Budget

Expense / Amount
Entry visa (if required)
Round-trip economy airfare
Lodging
Local ground transportation
Meals (maximum $50 per day)
Supplies for program development
Entrance fees or other local activity expenses
Subtotal
Deduct other funding sources (if any)*
TOTAL

*Applicants must provide evidence of funding from other sources

Signatures

Faculty/staff member / Date
Department Chair/School Director / Date