2025 Faculty Led Program Proposal
The FLP proposal and all supplemental materials must be submitted to the CGE
via email at laura-semenow@utulsa.edu by March 25, 2024. All proposals must be submitted via email.
No course will be formally approved until it receives formal approval from the Curriculum Committee.
Proposal Checklist:
Proposal Form
Course syllabus
Detailed Proposed Itinerary if not included in the form.
Policy and Procedure Acknowledgment form.
Proposal won’t be considered unless we receive the 4 items above.
Faculty Leader
*The faculty member(s) teaching the course must be teaching at TU the semester
preceding the proposed travel course.
Faculty Leader
Name:
Title:
Telephone:
E-mail:
Sponsoring
department:
Department Chair:
College Dean:
Is there a co-
instructor? If so,
name, title and e-
mail address:
Brief Program
Description
Program Learning
Objectives
Proposed Course
Title:
Course number:
Department:
Language of
instruction:
Credit hours:
Contact hours:
Level:
Graduate
Undergraduate
Course cross listed?
What requirements
does the course
fulfill?
Major/minor
Core Requirement
Block I/ II/ III
Other ______________________
Term:
Fall Break
Fall extension (December)
Spring Break
Spring Extension (May)
Summer 1
Summer 2
January term stand alone
January term preceding a Spring semester class
January term after a Fall semester class
Don’t know yet
Course has approval
of Curriculum
Committee?
__ Yes __ No | Comments:
Course has approval
to count as Block?
__ Yes __ No | Comments:
Course has approval
to count as HCGD
requirement?
__ Yes __ No | Comments:
Program Logistics
Please note that all travel to locations currently under a U.S. Department of State
levels 3-4 must be approved by the Risk Committee.
Program sites: (cities
and countries):
Course start date:
Course end date:
On site duration (in
days):
Date of departure
from the US:
Date of return to
the US:
Language
proficiency
required:
Please list any
experiential
components of the
program, including
service-learning,
field work or
research
opportunities
Proposed Itinerary
This is the place to indicate everything you would like to see/visit/do while you are
in-country. You could consider this a “wish list” of activities.
Date
Location and Activity
Student Enrollment
All students enrolled in the course section must complete the travel component of
the course.
Minimum and
maximum number
or students
From which
departments do
you expect there
to be student
interest?
From which
departments will
students be
recruited?
Participant
eligibility
requirements in
excess of CGE SA
requirements (i.e.
major, academic standing,
minimum GPA, prerequisites,
faculty permission, statement
of interest etc.)
Program Staffing
List Leader Qualifications (international travel, experience traveling with students,
making group travel arrangements, working closely with students requiring
constant oversight, administrative experience, course content, etc.)
Leader
qualifications:
Leader experience
in host country:
Additional
information:
Preferred Program
or Travel Provider
Information
(Third Party Vendor/Agency/Host Institution) If planning to use more than one third
party vendor, provide the following information for each one.
If you do not have a preferred provider, please indicate “No Preference” in the
provider name below.
Provider name:
Contact person
name:
Address
Telephone/ email:
Website:
Description of the
organization:
What services will
the organization
provide prior to
departure?
What services will
the organization
provide on-site?
Budget Worksheet
The budgeting process will be ongoing and the CGE does not expect a budget to
be finalized at this time. A budget template will be created upon the creation of
your course, and you can have access to it at any time.
Student costs:
Flights
Tours:
Hotel/Hostels:
Local
transportation:
Meals:
Other:
Faculty costs:
Flights:
Tours:
Hotel/Hostels:
Local
Transportation:
Meals:
Other:
Contingency
expenses:
Are there
department/College
subsidies for this
course? How much?
Is there another
source of funds for
this course? (Grant,
gift, etc.) How
much?
Syllabus guidelines
A syllabus for the course listed above must be attached to this proposal and
should include learning outcomes/goals for the program.
Signatures
I have reviewed the Faculty-Led Program Guidelines Document. To the best of
my knowledge, research, and ability, the information provided on the proposal is
true and accurate.
Primary Faculty
leader name,
signature, and date:
College Associate
Dean signature and
date:
College Dean
signature and date:
