Global Engagement & Research Pre-Excursion Request

Please complete this form to submit your supporting materials. You may direct any questions about this form, the minor, or its requirements to ogesp@uh.edu.

Reminder: In addition to the curricular requirements, the minor requires students to complete three experiential learning excursions (approved and documented) from at least two categories—local, national, and international. At least one of the excursions must last at least 10 days.

Peoplsoft ID # *
Maximum of 7 characters allowed. Currently Entered: 0 characters.
Name Name * First Last
UH Email *
Major(s) *
Minor(s) *
This is my First, Second, or Third Excursion *

This is my First, Second, or Third Excursion First Excursion Second Excursion Third Excursion
Please check which excursion you plan on attending. *

Please check which excursion you plan on attending. Local National International
Class Subject and Number (Ex. BIOL 4302) *

If the excursion does not have an associated course, type "N/A"
Class Title (Ex. Galapago!) *

If the excursion does not have an associated course, type "N/A"
Faculty Sponsor *
Start Date of Excursion Start Date of Excursion * / MM / DD YYYY
End Date of Excursion End Date of Excursion * / MM / DD YYYY
Please write a brief description of the program. *
Faculty Sponsor Signature *

Attach Files

You need approval from your faculty sponsor. A screenshot of an email will suffice.
Director Approval Signature *

Attach Files

You need approval from the minor director. A screenshot of an email will suffice.
Please check one of the following: *

Please check one of the following: I acknowledge that I must submit a post-excursion reflection within two weeks of completing the program.