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 ________________________