DRAFT

Application to Teach Online Faculty Form

Faculty please print out this page, fill it in, and when completed give a copy to your Department Chair, the Curriculum Chair and the DE Chair

_ new faculty __ new online class ___ subject area

______ Class or Section

your Dept. Chair _____________________

Date ______________
Name of Faculty _________________
Semester you plan on teaching online __________
Course you will teach online ______
Discipline __
Section # __
your email address __________
your webpage (if any) __
textbook you plan on using for the class _________
course management you will use ________________________

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