Fillable CENTER FOR EXTENDED LEARNING (Bemidji State University)

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CENTER FOR EXTENDED LEARNING (Bemidji State University)

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Bemidji State University
CENTER FOR EXTENDED LEARNING
Course Request Form
Term Year
Summer
Fall
Spring
Faculty Name Tech ID# Phone # E-mail address
Course:
Dept.
Course No. Section No. Credits
Title
Start Date Day(s) Time(s)
Other Dates
End Dates
Method of Delivery: Maximum Enrollment: ____________
Online: Course delivered via D2L Brightspace
ITV Location or Other Delivery: ___________________________________________
Course Payment (Please check
one) DOES THIS COURSE HAVE PROCTORED EXAMS?
Load Overload Adjunct Misc ($65 per credit) ______ YES _____ NO
SIGNATURES
Faculty Dat
e
Department Chair Date
College Dean Date
__________
_________________________________________ ___________________________________________________
Graduate Studies (if appropriate) Date
Rev. 2/13/2019
Please return this signed form to the Dean's Office, #27.
Dean's office will confirm course set up - Course ID: ______________
Faculty: Signing this form means you are agreeing to teach a distance education course per the Higher Learning
Commission’s definition of distance education: “Education that uses one or more. . . technologies . . . to deliver
instruction to students who are separated from the instructor and to support regular and substantive interaction
between the students and the instructor, either synchronously or asynchronously.” A variety of technologies may
be used. Distance education typically uses the best practices listed below:
• Welcome message from faculty with information on getting started
• Regular faculty-initiated interaction with students throughout the course, such as timely comments or
feedback in announcements, responses to email, videos and/or virtual office hours
• Faculty responses to discussion posts and/or chat topics
• Schedules and/or checklists of due dates for assignments and assessments
• Individual faculty feedback to students on assignments and exams
Faculty can NOT teach courses through Extended Learning while on sabbatical.
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CENTER FOR EXTENDED LEARNING (Bemidji State University)

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Completed 17 August 2020

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