Location of Program (if program travels, include ALL locations) *
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Will students receive academic credit for going on this program? *
If students receive academic credit for going on this program, provide the course name(s), number(s) (including section number, if applicable), and number of credit hours awarded. *
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Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
TOTAL cost of program to students (including deposit amounts): *
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Cost includes: (If response varies from options or requires elaboration, choose "Other" and type your response separating multiple responses by a comma.) *
Required
Other - Cost Includes:
Your answer
Cost DOES NOT include: (If response varies from options or requires elaboration, choose "Other" and type your response separating multiple responses by a comma.) *
Required
Other - Cost DOES NOT Include:
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