CETL - Distance Education

Course Set Up Request Form

To request an online (CE 6) course shell, complete and submit the form below by October 19, 2008. One form is required for each course requested.

Note: All courses will be delivered using Blackboard CE 6

Instructor Information (All Fields Required )
Instructor Name:
Instructor E-mail Address:
Contact Phone Number:

Course Type
Type of Course: (select one) (Click on type for definition)	Online ITV with Online Components Face-to-Face with Online Components
Course Creation Information
New Course ID	Each course requested must have all of the correct course ID components. Please consult the course schedule for appropriate course and section numbers.
Course Abbreviation	exp: ACC, SOC, BIO etc...
Course Number:	exp: 2303, 1101, 4300, etc...
Section Number:	exp: 01, 02, 03, etc...
Title of Course:
Term:
* Requested Activation Date: (allow at least 10 working days for completion)	exp: xx/xx/xxxx

Is this the first time this course will be offered at a distance at Texas Wesleyan?	Yes No Not Applicable (face-to-face course)
If you selected the option "Yes" you may enter any additional comments and submit your form now. You will be emailed instructions on how to access and add course content to your new course template and times of scheduled training events. If you selected the option "No" enter your previous course information below so it may be used as a template to construct your new course. If you selected the option "Not Applicable" you may enter any additional comments and submit your form now. You will be contacted via phone or email within seven days to discuss delivery options. (Please note CE 6 may not be your ultimate delivery tool)
Previous Course Information ( * if applicable)
Template Course IDs:	If you are using a previously offered course as the template for your new course, please enter in the previous course information below.
Template Course Abbreviation	exp: ACC, SOC, BIO, etc...
Template Course Number:	exp: 2303, 1101, 4300, etc...
Template Section Number:	exp: 01, 02, 03, etc...
Term of Previous Course:

If you have any additional comments or instructions regarding your courses, please place them in the space provided below.