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Faculty & Staff International Travel Involving Students

This form is to be used by all Ithaca College faculty and staff who are helping to plan international travel for students or who are traveling with students outside of the United States for any reason affiliated with the College. This includes, but is not limited to, credit-bearing courses, non-credit bearing courses, athletic events and competitions, music performances, research or field work, community service or service learning, or for any other reason where the faculty or staff person travels with students in an official capacity representing the College.



Faculty / Staff Information

What is the purpose of travel*

If credit-bearing, please attach a syllabus adhering to the most recent Ithaca College guidelines. Please be sure to include the most up-to-date Health and Safety statement.

Attach Syllabus
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Is this travel tied to an existing course? *
Please submit a detailed itinerary. If participants will have any scheduled free time, please include this on the itinerary.*
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Date of departure from USA*
Date of return to USA*
Who will be paying for the cost of student travel?*

Complete and submit a Budget Worksheet and detailed cost breakdown using your best estimates for program costs.

Budget Worksheet
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Include information related to the amount of time you have spent in the proposed location as well as the dates of your last trip and your personal/professional contacts in the location. If the primary language spoken in the host country is not English, please tell us if you speak the language (of the host country), your level of fluency, and/or your plans for an interpreter/translator.
If so, please provide the name of the of the company/organization, the name of the individual you have been working with, their contact information, and whether this is a US-based or international company/organization.
If you've received any contracts or vendor documents relevant to this proposal, please upload here. (This could be from a third-party vendor, for accommodations, pre-arranged transportation, etc.)
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Additional contracts or related vendor documents can be uploaded here.
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Dept. Chair OR Supervisor OR Program Director Approval

Do you, as the Department Chair OR Supervisor OR Program Director, approve of this request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.
Date*

Dean of School OR Executive Director for SACL OR AVP of Intercollegiate Athletics

Do you, as the Dean of School OR Executive Director for SACL OR AVP of Intercollegiate Athletics, approve of this request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.
Date*

Associate Director of International Programs and Approval

Do you, as the Assistant Director of International Programs and Extended Studies, approve of this request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.
Date*

Senior Director of Study Abroad Approval

Do you, as the Senior Director of Study Abroad, approve of this request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.
Date*

Associate Provost for Graduate and Professional Studies OR Vice President for SACL

Do you, as the Representative for the Office of the President, OR the Associate Provost for Graduate and Professional Studies, OR Executive Director for SACL, approve of this request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.
Date*
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