Instructor Course Request Form

!!!ALL FORM FIELDS MUST BE COMPLETED!!!
Your form will not be submitted if all of the fields aren't completed.

 

Instructor's Name:
 

Instructor's Email Address:
 
 

Course Delivery Method: WebCT HTML

Course Title:

Course Description:

 

 

Course Discipline:
Ex: (CHM, EDU, NUR)

Course Number:
Example: (12345)

 

Course Type:
Totally Online, Web Enhanced, or Hybrid?

 

Section Number:
Example: (03)

 

!!! ACCURACY COUNTS!!!
 Incorrect Section # will create massive confusion for the students.
Course Semester:

 

Course Year:
 
Example: (2011)

 

Do you want to import content from a previous WebCT course into your new course? YES NO 
If  Yes, continue completing the form normally. If  NO, enter NA in the remaining blank form fields.

!!! THIS INFORMATION MUST BE ACCURATE !!!
Incorrect information in the next set of form fields will cause the imported content to be the wrong content.

PREVIOUS
Course Discipline:
Ex: (CHM, EDU, NUR)

 

  PREVIOUS
Course Number:
Ex: (12345)

 

PREVIOUS
Course Type:
Totally Online, Web Enhanced, or Hybrid?

 

PREVIOUS
Section Number:
Ex: (03)

  

PREVIOUS
Course Semester:

 

PREVIOUS
Course Year:
Ex: (2010)
 

 Comments:        

Remember: Your form will not be submitted if all of the form fields are not completed.