(IVP) Program - Office of International Affairs - Portland State University

2011 IVP Program Application
(completed by PSU host department)
Form 1
Form 1: PSU Hosting Department Form
1. Proposed IVP Instructor Name_______________________________________________
2. Country/ies of Origin_______________________________________________________
3. Course Title______________________________________________________________
4. Dates:
______ June 20 – July 17 (First Four Week Session)
______ July 18 – August 12 (Second Four Week Session)
______ June 20 – August 12 (Full Eight Week Session)
5. Maximum Enrollment_________
6. Days ___________________ 7. Preferred times ______________________________
8. Preferred rooms _______________ 9. A-V requirements __________________________
10. Brief course description (this will appear in the Summer Session catalog):
11. PSU Departments should have the course approved for Summer 2011 before submitting
an IVP application.
APPROVED as SUBJ ______ COURSE NO ______
12. Explain how the proposed course enhances and contributes to the continued
globalization of PSU. Successful applications will provide specific examples. The program appreciates
the diversity of experience that a professor from an international background brings to the classroom.
(Please feel free to use an additional page.)
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