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Corequisite MyLab Consultation Request Form

1.Email address:(Required.)
2.First name:(Required.)
3.Last name:(Required.)
4.School name:(Required.)
5.State:(Required.)
6.What course area/s are you building corequisite courses for? (select all that apply)
7.Will you be creating a course that is ultimately used by other instructors in your department (even if they are free to make changes), or will you be the sole owner of this course?
8.Have you already chosen a text and MyLab course? If yes, please indicate what title below:
9.STUDENTS: Will your students be comingled or a cohort? See the image below for a definition of these two terms.
10.INSTRUCTORS: Will your corequisite course have two instructors (one for support, one for credit course) or will one instructor teach both? See image below for additional information about this question.
11.SUPPORT/REMEDIATION: Will this content be covered in a concurrent or consecutive manner in your corequisite course? See image below for additional information on these approaches.
12.SUPPORT/REMEDIATION: How many hours a week will be devoted to your support portion of your corequisite course?
13.SUPPORT/REMEDIATION: How will your classroom time be spent? (Select all that apply)
14.SUPPORT/REMEDIATION: Will students attend or work on support content prior to, or after their weekly credit course time?
15.Are there additional faculty members we should include in the initial planning meeting? If so, please provide names and email addresses.