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Service Learning Teams: Trip Proposal

Trip Proposal

* = required field

Proposed Trip Destination *

Approximate Dates of the Trip *

First Team Leader

Please provide the following information regarding the service-learning team's first leader:

Name *

First

Last

Email Address *

Phone Number *

###

####

Second Team Leader

Please provide the following information regarding the service-learning team's second leader (if applicable):

Name

First

Last

Email Address

Phone Number

###

####

Third Team Leader

Please provide the following information regarding the service-learning team's third leader (if applicable):

Name

First

Last

Email Address

Phone Number

###

####

Destination Information

To answer the following questions, please refer to the US State Department website provided below. Enter the name of your country and then include the current Travel Advisory Level for that country.
Currently travel is not allowed to Level 4 countries. Level 3 countries and/or regions will be evaluated on a case by case basis.

https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html

US State Department Travel Advisory Level (1 - 4) *

If your country is a level 3, please include additional rationale for why travel to this country should be considered.

Questions

Please provide thorough answers to the following questions:

Describe your previous experience in this country or location: *

Name of agency, group, or individual that you will be working with in the country: *

Please describe your previous experience with the agency, etc.: *

Please provide a brief summary of the activities the team will be engaged in: *

What are the purposes/goals of the trip?: *

How does the trip tie into the academic and personal development of Malone students?: *

Anticipated Minimum number of students: *

Anticipated Maximum number of students: *

What causes/creates these numbers (lodging, transportation, host’s limits, etc.): *

Estimated Costs

Please base numbers on a team of 8 students.

Airfare (per person) *

Visas (per person) *

Housing (per person) *

Food (per person) *

Food in Transit (per person) *

Transportation (per person) *

Program Costs (per person) *

Supplies (per person) *

Host Gifts (per person) *

Airport Tax / Fees (per person) *

Other Costs (per person) *

What is included in "Other Costs" above? *

Subtotal Per-person cost *

Leader Cost *

Total Per-person Cost *

Spam Prevention *

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Malone University - Christ's Kingdom First

Trip Proposal

First Team Leader

Second Team Leader

Third Team Leader

Destination Information

Questions

Estimated Costs

Contact Info

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