FLEAP Faculty Interest Form

Indicates required field

First Name

Last Name

UCR Email Address *

Phone Number

Academic Appointment

Academic Department

Department Chair

First

Last

Department Chair Email

Has your department chair approved your proposed program?

Yes

Other

Please elaborate for Other

Proposed Program Information

Proposed Program Title *
For examples: "Rome: The Eternal City" "The London Leadership Experience"

First course title and number (and any approved cross-listings) *
For example, ANTH 005 Introduction to Archaeology.
UCR General Catalog

Second course title and number (and any approved cross-listings) *
For example, ANTH 005 Introduction to Archaeology.
UCR General Catalog

Summer Session in which you want to run your program *

Session A: Late June to late July

You may run a 1-week, 2-week, 3-week, 4-week, or 5-week program.

Session B: Late July to late August

You may run a 1-week, 2-week, 3-week, 4-week, or 5-week program.

Another time

Please specify in follow-up communication what you're interested in.

Location Information

List City/Cities and Country/Countries *
If you're unsure, review these destinations that our partner third-party providers offer.

Additional Information

Optional: Local resources/contacts on the ground; prior experience; preferred excursions, etc. Please provide supplemental info, as you feel necessary.

International Affairs

FLEAP Faculty Interest Form

International Affairs

International Students

International Scholars

Education Abroad