Spring 2018 Online Short Course

Application Deadline: Monday, February 12, 2018

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* 1. Please Upload Document Support Signature Page.

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

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* 2. Applicant’s Name

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* 3. Department/College

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* 4. Position

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* 5. Phone Number

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* 6. Email Address

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* 7. Unit Budget Manager Name

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* 8. Unit Budget Manager Phone

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* 9. Unit Budget Manager Email Address

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* 10. Department Chair

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* 12. If so, how many semester have you taught online?

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* 13. What course(s) do you teach/would you teach online?

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* 14. What is the anticipated enrollment for the online course?

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* 15. If you are currently scheduled to teach online, which course and what semester are you currently scheduled to teach?

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* 16. If you have received a distributed learning grant in the past, which grant did you receive?

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* 18. What do you hope to gain from this experience? (500 Character Limit)

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