GCP and Dept/College Affiliate - Budget Information Form 26-27

Complete the budget information form so that LAC staff can enter fees and bill student accounts. Most number fields are required, if the line does not apply to your program, enter a '0'. Enter numbers only no $ sign, no commas.

Contact Information

First Name:

Last Name:

Email:

Hidden Email Address:

Hidden Device Type:

Program Information

Program Name:

Estimated # of Students:

Departure Date:

Return Date:

Number of Days (calculated):

Program Leader Costs

Number of Program Leaders:

Total Salary for all Program Leader(s):
(Note that if program is embedded, UofM tuition will be charged for course credits- may or may not need to build in additional leader salary)

Total Fringe (38.5%) & Administrative Assessment (1.75%) for Program Leader(s) - 40.25% of Total Salary (subject to change per University requirements):

Total Expenses (e.g. housing, meals, international travel) for all Program Leader(s):

Total Other Expenses for all Program Leader(s):

Subtotal - program leader costs per student:

Per Student Costs

LAC Advising, Placement, Application and Coordination Cost (APAAC) ($550):

College or department administrative fee (if applicable):

International Insurance - $3.00 per day per student

International airfare (if included in program fee):

Onsite provider administrative expense/program fee - if given one fixed cost, divide by estimated number of students:

Housing (if not included in provider admin expenses):

Meals (if not included in provider admin expenses):

Field Trips/entrance fees (if not included in provider admin expenses):

Unforseen student expenses:

Other administrative costs (e.g. wire transfer fee, currency exchange fee):

Emergency Planning Fund:

Other per student expenses included in program fee:

Subtotal - per student costs:

Additional Student Costs - non-billed "out of pocket" expenses

Transportation to/from program:

Passport/photos:

Visa/Required Documents:

Texts/Materials:

Housing and/or meals not included in program fee:

Essential Daily Living Expenses:

Students should also budget for spending money and personal travel. This is not included in the financial aid calculation.

Spending Money & Personal Travel:

Cost of Participation/Program Fee Breakdown

Program Fee (billed to students account):

Total Program Cost (for financial aid purposes):

Cost Breakdown for Billing

Deposit (LAC default is $400. Sponsoring unit can choose to increase amount):

Program Housing Cost (if not separated take onsite fee multiplied by .25):

Tuition and Educational Costs (calculated):

Airfare (calculated):

Insurance (calculated):

TOTAL Program Fee (calculated):

REMINDER: You must establish a cancellation and refund process prior to any student applications and publish these policies in a prominent and accessible place for students. You may elect to copy or take wholesale the cancellation policy and procedures found on the LAC website. However, in all cases the program sponsoring unit is responsible for processing any student refund appeals.