Authorized Virtual Education Provider Survey

Thank you for your interest in becoming an Authorized Virtual Education Provider. Please review the CSL Policies and Procedures and discuss Considerations and Best Practices with your leadership team before completing this survey. When you submit your survey response, please email Misha Brigham (mbrigham@csl.org) and you will then be contacted with details to proceed with the authorization process.

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* 1. Have you read and discussed the Policies and Procedures with your leadership?

Yes

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* 2. What are the benefits you hope to realize in your community by offering online/mixed delivery education?

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* 3. Please briefly describe your experience(s) teaching in a virtual environment (online or mixed delivery).

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* 4. What challenges have you faced teaching online/mixed delivery? Please check all that apply and explain briefly.

Technology Issues

Student Retention

Curriculum Delivery

No Challenges

Other (please describe below)

Please briefly describe your challenge(s).

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* 5. Please briefly describe the successes you have had teaching online/mixed delivery.

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* 6. What types of training would be valuable for your community to successfully offer courses online/mixed delivery?

Facilitation

Technology

Curriculum Development

Marketing

Other (please specify)

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* 7. Briefly describe how you see CSL Home Office supporting your success.

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* 8. What questions do you have with regard to providing education online?

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* 9. Please provide your contact information

Name

Community

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number