Proposal Request

Name *

First Name

Last Name

Phone *

(###)

###

####

Student Ages *

Select all that apply

18-20 years old

21-22 year old

mid to late 20s

Older than 30 years old

Program Start *

Date of arrival in host location

MM

DD

YYYY

Program End Date *

Date of departure from host location

MM

DD

YYYY

Are your dates flexible?

Yes

No

Annual program *

Will this program repeat annually?

Yes

No

Don't know

Activities *

In addition to experiences that reinforce the primary theme, what else are you interested in?

Community visits and community-based activities

Culture (people, music, art, traditions, and way of life)

Service learning and volunteering with local nonprofits

Business visits

Eco-tourism (e.g. hiking, birding, whale watching)

History

Language

Adventure activities (e.g. surfing, rock climbing, rafting, caving, scuba/snorkel)

Other (please describe in comment section at end of form)

Lodging for students

Home stay

Hostel / 2-star hotel

3-star hotel

4-star hotel

Lodging for faculty/leaders *

Single occupancy

Double occupancy

Included meals

Please select all that apply

None

Welcome and Farewell dinners

Breakfasts

Some lunches

All lunches

Some dinners

All dinners

Guided Program?

Most of our FLSA programs include a guide that handles all logistics, payments, risk management, and translation, among other services, which allows faculty to focus only on academics.

Guided

Unguided

Will all participants arrive on the same flight? *

Yes, university will be coordinating flight purchase.

Yes, students will be required to purchase seats on a designated flight.

No, students will be instructed to arrive and depart at specific times and will purchase their own airfare.

Would you like us to arrange air travel?

Yes

No

Maybe

Who is the payee *

Will the students pay Learn from Travel directly or will the university collect payment from students and pay Learn from Travel?

Students

University

TBD

Proposal due date *

We usually take two to three weeks to prepare a proposal.

MM

DD

YYYY