{"id":361,"date":"2025-05-22T15:59:13","date_gmt":"2025-05-22T15:59:13","guid":{"rendered":"https:\/\/www.indianatech.edu\/doctoral\/?page_id=361"},"modified":"2025-06-04T13:49:36","modified_gmt":"2025-06-04T13:49:36","slug":"global-practicum-course-request-form","status":"publish","type":"page","link":"https:\/\/www.indianatech.edu\/doctoral\/forms\/global-practicum-course-request-form\/","title":{"rendered":"Global Practicum Course Request Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Global Practicum Course Request Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/doctoral\/wp-json\/wp\/v2\/pages\/361\/#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_16\" class=\"gfield gfield--type-multipart_step gfield--input-type-multipart_step gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden immaterial\"  data-field-class=\"immaterial\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_16'>Steps<\/label>        <div class=\"ginput_container\" id=\"gf_login_container1\">\n            <input type=\"hidden\" id=\"input_1_16\" value=\"request\" name=\"input_16\" \/>\n            <input type=\"hidden\" id=\"input_1_16_2\" value=\"\" name=\"input_16.2\" \/>\n                            <p><\/p>\n                    <\/div>\n\n        <\/li><li id=\"field_1_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Request<\/h2><\/li><li id=\"field_1_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><p>OLHE7008 is a three-hour course and can be substituted for any course within a student\u2019s concentration core.  While Ph.D. students are welcome to participate in as many global practicums as they would like, OLHE7008 can only be taken twice for a total of six credits. Students must complete at least nine program hours before they can be approved for global practicum credit.<\/p>\n<p>A GP requires 135 hours of learning experience (takes place inside and outside the classroom). Examples of experiences include face-to-face interactions with a professor and classmates on the trip, pilot study activities at an international site, information search before the trip, readings, assignments, etc.  Leisure travel time that might take place as part of OLHE7008 should not be factored into course work hours.  Global practicums can be taken as a group or as an individual.<\/p>\n<p>\n<strong>GROUP<\/strong><br \/>\nA group class has a designed curriculum and a class agenda. The class involves an international trip that includes an academic component (e.g., ILA conference, IB regional conference, international workshop) and a global mindset development component.\n<\/p>\n<p>\n<strong>INDIVIDUAL<\/strong><br \/>\nGoals, learning objectives, readings, and deliverables for the individual class are discussed with the course professor prior to the start of the class.  An individual GP has required activities as well as provides flexibility for a student to design unique academic activities to meet identified learning objectives.  An individual global practicum class must be approved by the director of Ph.D. program at least four weeks prior to the class\u2019 start date.\n<\/p><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_2'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_1_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_3'>Student ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_14\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_14'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_1_14' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_4\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_4'>Number of Program Credit Hours Completed Thus Far<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_5\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_5'>To Be Substituted for the Following Concentration Course<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_5\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_5'>(Please note that global practicum credit can ONLY be used toward an HEA or OLM course &#8211; never toward an RES or LDS course.)<\/div><\/li><li id=\"field_1_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_15'>Dates of the Trip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_1_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' for='input_1_7'>Select Session for the Course<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Fall 1' >Fall 1<\/option><option value='Fall 2' >Fall 2<\/option><option value='Spring 1' >Spring 1<\/option><option value='Spring 2' >Spring 2<\/option><option value='Summer 1' >Summer 1<\/option><option value='Summer 2' >Summer 2<\/option><\/select><\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_6'>Select Year for the Course<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' >Please indicate if you intend to take this global practicum alone in your chosen session, or alongside a regular online course.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_13'>\n\t\t\t<li class='gchoice gchoice_1_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='I DO plan to take this global practicum alongside another course.'  id='choice_1_13_0'    \/>\n\t\t\t\t<label for='choice_1_13_0' id='label_1_13_0' class='gform-field-label gform-field-label--type-inline'>I DO plan to take this global practicum alongside another course.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='I DO NOT plan to take this global practicum alongside another course.'  id='choice_1_13_1'    \/>\n\t\t\t\t<label for='choice_1_13_1' id='label_1_13_1' class='gform-field-label gform-field-label--type-inline'>I DO NOT plan to take this global practicum alongside another course.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' >Please indicate if this is your first or second GP<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_8'>\n\t\t\t<li class='gchoice gchoice_1_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='First'  id='choice_1_8_0'    \/>\n\t\t\t\t<label for='choice_1_8_0' id='label_1_8_0' class='gform-field-label gform-field-label--type-inline'>First<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Second'  id='choice_1_8_1'    \/>\n\t\t\t\t<label for='choice_1_8_1' id='label_1_8_1' class='gform-field-label gform-field-label--type-inline'>Second<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' >Is this an individual or group Global Practicum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_9'>\n\t\t\t<li class='gchoice gchoice_1_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Individual'  id='choice_1_9_0'    \/>\n\t\t\t\t<label for='choice_1_9_0' id='label_1_9_0' class='gform-field-label gform-field-label--type-inline'>Individual<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Group'  id='choice_1_9_1'    \/>\n\t\t\t\t<label for='choice_1_9_1' id='label_1_9_1' class='gform-field-label gform-field-label--type-inline'>Group<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_10'>Justification for Request<\/label><div class='gfield_description' id='gfield_description_1_10'>Please included the following:<br>\na. purpose for Individual Global Practicum<br>\nb. a travel destination and length of a trip<br>\nc. academic goals, learning outcomes, and potential deliverables<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_1_10' class='textarea medium'  aria-describedby=\"gfield_description_1_10\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_11\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_11'>First and Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_11\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_11'>By entering your first and last name, you confirm that the information you have entered is accurate.<\/div><\/li><li id=\"field_1_12\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_12'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_1_12' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_1_12_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_12' class='gform_hidden' value='https:\/\/www.indianatech.edu\/doctoral\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Response<\/h2><\/li><li id=\"field_1_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_20'>Your name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' >How would you like to respond?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_21'>\n\t\t\t<li class='gchoice gchoice_1_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='Confirm'  id='choice_1_21_0'    \/>\n\t\t\t\t<label for='choice_1_21_0' id='label_1_21_0' class='gform-field-label gform-field-label--type-inline'>Confirm<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Decline'  id='choice_1_21_1'    \/>\n\t\t\t\t<label for='choice_1_21_1' id='label_1_21_1' class='gform-field-label gform-field-label--type-inline'>Decline<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='More information needed'  id='choice_1_21_2'    \/>\n\t\t\t\t<label for='choice_1_21_2' id='label_1_21_2' class='gform-field-label gform-field-label--type-inline'>More information needed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_22\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_22'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_1_22' class='textarea large'  aria-describedby=\"gfield_description_1_22\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_22'>Comments will be received by both department staff AND the requesting student.<\/div><\/li><li id=\"field_1_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Provide More Information<\/h2><\/li><li id=\"field_1_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_24'>Comments<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_1_24' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Follow-up Response<\/h2><\/li><li id=\"field_1_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_1_26'>Your name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label 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