Custom Group Questionnaire

First Name*
Last Name*
Institution*
Email*
Phone
Discipline*
- Music
- Dance
- Theatre
- Film
Please indicate your role.*
- Faculty
- Study Abroad Office Staff
- Private Company Staff
What is the name of the course(s) you will be teaching?

For faculty or those teaching a course abroad.
What is your anticipated start date?*
MM slash DD slash YYYY

We realize this may change, but we need at least the month and year for planning purposes.
What is your projected duration for the program in number of weeks?*

If you already have set dates in mind, please indicate that here.
What country (or countries) and cities are you hoping to visit on your trip?*
What types of excursions are you interested in? (city tours, academic, backstage tours, performing on a stage, etc.)*

Please make a numbered list.
How many group leaders will be accompanying the group?*
How many students do you anticipate will participate?*
Do you need formal classroom space? If so, for how many days/hours?*
What type of housing do you prefer?*
- Apartments
- Homestay
- Dorm
- Hostel
Do you require any meals? If so, please specify how many per day.
What is your deadline to start promoting this program and recruiting students?*
MM slash DD slash YYYY
Is there a particular price you are aiming for per student before tuition or other fees are added from your institution's side?*
Please tell us about your ideas for the program. The main purpose of this program is to...*
Please tell us about the last program you led and where. What were the strengths? What would you change?
Do you have a sample itinerary you would like us to use?
Max. file size: 50 MB.
Do you have a syllabus or course description that would be beneficial to our team as we develop your proposal?
Max. file size: 50 MB.
Comments
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