PROPOSE A NEW EXPEDITION

PROPOSE A NEW EXPEDITIONS COURSE

Upon receipt of this form, Xavier Expeditions will contact you to request credentials for teaching a course with us. These credentials include C.V. with demonstrated emphasis on areas of competence and specialization within area of course selected below. Credentials also will include examples of immersion learning experiences and demonstrated teaching success.

Name

First Name

Last Name

Email Address

Phone

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Proposed New Course Title

Proposed New Course Synopsis

In 300 words, provide a summary of the course content and goals as well as learning objectives

Area(s) of Specialization

Educational Background

Enter degree(s) completed or current degree program, Institution, (with emphasis on area of specialization / competency) and date degree completed below.

Teaching Background

List experience(s) teaching in an Immersion learning format below, including: name of experience, affiliated institution, date(s) of experience

Personal Statement

Provide a brief statement of your reasons for teaching this course and your learning objectives.

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