Faculty Exchange Form

Please visit the Faculty Exchange Policies page for more information about this form, and answers to frequently asked questions.

Name:
Department:
BSU Address:
BSC Phone:
Home Address:
Home Phone:
Passport Information
Proposed Time /
Length of Stay:

Proposal
Present the academic goals and manner in which you intend to achieve those goals while at the partnered institution.

Describe area(s) of academic interest during exchange

Teaching
List Courses you would be willing to teach at partnered institution.

Research
Outline of project to be conducted at partnered institution; if joint research project with a faculty member at partnered institution, please describe.

Community Service
Outline of project to be conducted at partnered institution.

Describe relationship of exchange to area studies program at the college

Grant Support
Describe any grant support that may be associated with the exchange.

Contact Person:
Dr. Michael Kryzanek
Center for International Engagement
Ext. 6195

Last Modified: September 1, 2010