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PROGRAM: DATES:
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Please complete this form by indicating in the appropriate boxes the cost per participant for each item listed.
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A. BASIC PER STUDENT EXPENSE*
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Transportation - air:
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Transportation - in-country: (bus, subway, local trains, etc.)
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Airport Transfer (US) (if applicable)
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Accommodation - location 1:
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 location 2:
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 location 3:
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On-campus Accommodation (pre &/or post program)
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Meals included in program: breakfast ____ lunch ____ dinner ____
Note: An estimated cost of meals not included in the price should be listed in Section D.
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Facility rental: (classroom, studio, etc. space)
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Guest lecturers: (honorarium, pay)
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Events: (tickets, admissions, excursions, etc.)
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Travel Medical Insurance $23.00
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Trip Interruption Coverage $124.00
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Provider Program Fee (If applicable)
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Other (please list)
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TOTAL A $147.00
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*If you are using a program provider, please enter a figure under other for Total A indicating the amount the provider is charging per student. If the provider is charging a group rate, divide the figure by the minimum number of students. Place an "x" by the items in Section A that are included in the group rate.
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B. LEADER EXPENSES and fixed costs to be covered by students (estimate the price for each item for each leader)Primary Leader2nd LeaderAdditional Leaders (approval required)Expenses covered by Alternate Sources/Budgets
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Transportation - air (leader):
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Transportation - local (leader): (bus, subway, local trains, etc.)
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Airport Transfer - US (leader - fixed group costs can be included here.)
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Accommodation - location 1:
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 location 2:
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 location 3:
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Meal allowance**: (please see per diem policy below)
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Events: (tickets, admissions, excursions, other)
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Provider Fee (if applicable)
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Vaccination(s) (if applicable):
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Visa (if applicable):
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Travel Medical Insurance (if applicable) $147, Leaders over 60 may be more. Talk with CGE$147.00$147.00
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Phone rental/purchase/Usage: (maximum $10/day)
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Bank/Foreign Transaction Fees (please include wire transfer fees if payments will need to be made in this manner)
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Marketing/Gifts
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Gratuities/Tips
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Pre-departure & Re-entry orientation
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Administrative Stipend$1,000.00
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SUB-TOTAL$1,147.00$147.00
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Total leader expenses (Primary Leader and 2nd leader subtotals minus alt funds)$1,294.00
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Indicate the minimum number of participants14Initial Budget should be based on minimum numbers
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(Total leader expenses divided by minimum number of participants) TOTAL B$92.43
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**Employees will be reimbursed for reasonable expenses incurred for meals when out of town on College business. Employees must provide a detailed receipt for any reimbursable meal.
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C. ESTIMATED PROGRAM FEE
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Total A and Total B$239.43
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10% currency fluctuation and cost buffer$23.94Trip interruption coverage may be purchased using this contingency fee.
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TOTAL C$263.37
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D. INDIVIDUAL ADDITIONAL STUDENT EXPENSES
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Passport (if applicable) :$165.00
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Visa (if applicable) :
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International Student ID Card (ISIC) (if applicable) :
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Required vaccination(s):
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Round trip transportation from Knoxville: (estimated, in not included)
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Additional transportation: (during program)
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Additional lodging: (during program)
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Additional meals: (during program)
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Other:
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TOTAL D$165.00
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E. TOTAL ESTIMATED PER STUDENT PROGRAM COST
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TOTAL C$263.37
This would be the program fee
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TOTAL D$165.00
This would be additional expenses
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Study Abroad Application Fee$100.00
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TOTAL ESTIMATED PER STUDENT PROGRAM COST with additional costs		$5,013.00
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Please submit your completed budget electronically to Kirsten Sheppard (kirsten.sheppard@maryvillecollege.edu) or may be uploaded with proposal form.
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Program fees may be reduced with Dean subsidy or higher travel numbers
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