GCP and Department/College Affiliate

The information below is needed to create a new Program and/or application Track+Term. Applications can go live once we have all of the information below, as well as a signed and submitted LOU.

Contact Information

First Name:

Last Name:

Email:

Program Information

Official Program Title:

Term (e.g. May 2025 or Winter Break 2026)

Program Type:

Taught entirely abroad

Embedded (Includes one or more required meetings or class sessions, either before or after the learning abroad component, regardless of whether they are virtual or on-campus)

Departure Date:

Return Date:

Application Deadline:

Confirmation Deadline (date by which students must financially commit):

Priority Checklist Item Deadline (date by which students must time-sensitive items, such as the Health Information Form and passport copy):

Pre-departure Checklist Item Deadline (date by which all other pre-departure checklist items must be submitted, typically no later than one month prior to the departure date):

Indicated the on-campus (or virtual) course meeting dates and/or meeting pattern (eg. B-term spring semester or Mondays- March 17 - May 5, or meets 3 times for 3 hours in April).

Estimated Start Date of On Campus Course

Estimated End Date of On-Campus Course

On-campus (or Virtual) course meeting date range or pattern

Is the program open to non-UofM students?

Yes

No

Program Location(s)

All the overnight stops that will be made on the program, including city arrival and departure dates are needed one month prior to departure.

Program Country/Countries:

City/Cities:

Region (state/province, etc. - optional):

Department Emergency Contact

Discuss and gain the consent of your emergency contact(s) prior to assigning them for your program. Discuss the responsibilities found on this page with your emergency contact(s).

This is someone that will be U.S. based during the program and will have 24/7 phone answering capabilities.

First Name:

Last Name:

UofM Internet ID (x.500):

Email:

Position Title:

Mobile Phone:

Work Phone:

Program Contacts

An individual can cover more than one program contact need, as applicable. Example: program leader and application reviewer, or emergency primary contact and department administrative contact.

Program Contact Type Definitions:

Program Leader - the person accompanying the students abroad
Co-leader - a second person accompanying the students abroad
Application Reviewer - the person with access to the application portal who will make admission decisions for the program. Note - only one person can be assigned as Application Reviewer
Administrative Contact - the person to answer questions on program logistics, contracts, budgets, etc. (if different from Program Leader and/or Application Reviewer)
Instructor-led Portal Access - the person who should be able to see application progress and student confirmation forms (typically main program contact and/or program leader). Note: This person will need to have completed the online Student Data Inquiry (SDI) training, and update LAC once complete, in order to access the
Instructor-led Portal.

DeleteProgram Contact _ID_
Add program contacts here
First Name: Last Name: UofM Internet ID (x.500): UofM Email: Position Title: Office Phone: In-country Phone (only required for program leader or co-leader): Select all applicable program contact types: Program Leader Co-leader Application Reviewer Administrative Contact Instructor-led Portal Access

Add another person

GCP and Department/College Affiliate - Program Details