Required Information for Non-Academic Blackboard Courses

Please complete this form to help us evaluate the best approach to accomplish your goals - whether a Blackboard course or another web-based approach.

Requester's Contact Information

First Name:

mid

Last Name:

Department:

Email:

10-Digit Phone Number:

Phone Extension:

Course Information

Purpose of the Course:
This is how the students will see the course when they log in to Blackboard.

Explanation for the Course:

Description of the Course:

Benefits of the Course:

Proposed Course Number (eg, COMM 1000):

Course Name:

Time Frame

What date will the course start?

What date will the course end?

Responsible Parties

Who are the instructors? (Include PeopleSoft IDs, if known)

Whom should students contact in the event of a problem?

Who is the registrar who will decide policies and procedures for this course (e.g., if a student doesn't complete the course by the end date and wants more time, who should the student contact)?

Who will be students in the course?

How often will students be added/loaded to the course?

Other Pertinent Information