Application

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* 1. First Name

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* 2. Last Name

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* 3. Title(s)/Rank

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* 4. College/School

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* 5. Department/Unit

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* 6. Phone

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* 7. Email Address

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* 8. Course Designator, Number: Title you propose to develop (i.e.,  DANC 101: Dance Appreciation)

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* 9. Course Delivery Information

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* 10. Type of Course (Check all that apply)

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* 11. Unit Budget Manager’s Name

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* 12. Unit Budget Manager’s Email

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* 13. Unit Budget Manager’s Phone

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* 14. Department Chair

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* 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.)

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* 16. Please upload Draft Syllabus.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 17. Please upload Department Support Form.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 18. Please upload CV.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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Supplemental Questions

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* 19. List courses and academic terms that you have taught online or blended format, if any.

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* 20. Please answer the following:

  Yes No
Have you taught this course (face-to-face or online) previously?
Has this course been associated with any prior course-development grant funding from the Office of the Provost or CTE?
Applicant Affirmation

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* 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

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