2019 3Ds Bootcamp Grant Application Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Title(s)/Rank Question Title * 4. College/School Question Title * 5. Department/Unit Question Title * 6. Phone Question Title * 7. Email Address Question Title * 8. Course Designator, Number: Title you propose to develop (i.e., DANC 101: Dance Appreciation) Question Title * 9. Course Delivery Information Semester/Year of Planned First online offering Anticipated Enrollment Number: First Delivery Anticipated Enrollment Number: Annually Question Title * 10. Type of Course (Check all that apply) New Course Existing Traditional Course, Delivery Change to Distributed Learning Format Course Proposed for Palmetto College Carolina Core Question Title * 11. Unit Budget Manager’s Name Question Title * 12. Unit Budget Manager’s Email Question Title * 13. Unit Budget Manager’s Phone Question Title * 14. Department Chair Question Title * 15. Project Narrative--Address the following five criteria. Include the item number in your narrative.1. What do you hope to gain from this experience?2. Why do you wish to put this course online?3. What benefit will putting this course online have for your department and/or students?4. List project objectives 5. Discuss feasibility and impact of putting this course online.(Type or copy/paste 500-1000 word project narrative.) Question Title * 16. Please upload Draft Syllabus. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload Draft Syllabus. Question Title * 17. Please upload Department Support Form. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload Department Support Form. Question Title * 18. Please upload CV. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload CV. Supplemental Questions Question Title * 19. List courses and academic terms that you have taught online or blended format, if any. Question Title * 20. Please answer the following: Yes No Have you taught this course (face-to-face or online) previously? Have you taught this course (face-to-face or online) previously? Yes Have you taught this course (face-to-face or online) previously? No If you answered yes, please provide details. Has this course been associated with any prior course-development grant funding from the Office of the Provost or CTE? Has this course been associated with any prior course-development grant funding from the Office of the Provost or CTE? Yes Has this course been associated with any prior course-development grant funding from the Office of the Provost or CTE? No If you answered yes, please provide details. Applicant Affirmation Question Title * 21. If selected, I agree to participate fully in both Phase I and Phase II of this grant project, including all related activities and meetings. I understand that I need to attend the weeklong face-to-face training sessions conducted at the Center for Teaching Excellence (Columbia, SC) from May 13-17, 2019. Thereafter, I will continue collaborating with my Distributed Learning coach to finish building my online course in accordance with the university’s quality assurance standards. In addition, I will prepare and submit materials required for university approval of the course for DL delivery. I understand that grant funds are contingent upon: 1) availability of funds; 2) employment with the university; and 3) successful completion of the following tasks by the dates listed:· Phase I: 3Ds Bootcamp weeklong Workshop May 13-17, 2019· Phase II: Course Development – December 15, 2019· Apply for approval for Distributed Learning delivery of the newly-created or revised course (if needed) – September 15, 2019· Submit final report – December 15, 2019 Yes No Done