Fillable Form 2020.: Online/Hybrid/HyFlexCourseRequestForm Whomustcompletethisform:Facultyplanningtoteachonline/hybrid/hyflex,regardlessof previousonlineteachingexperience. Deadline:Allformsshouldbesubmittedto

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Form 2020.: Online/Hybrid/HyFlexCourseRequestForm Whomustcompletethisform:Facultyplanningtoteachonline/hybrid/hyflex,regardlessof previousonlineteachingexperience. Deadline:AllformsshouldbesubmittedtoyourdepartmentheadonorbeforeAugust1, Directions:MontanaTechiscommittedtoprovidinghighqualityonlineinstructionforour students.Inordertoensureaconsistentonlineexperiencefacultyinterestedinofferingan (Montana Tech)

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The Form 2020.: Online/Hybrid/HyFlexCourseRequestForm Whomustcompletethisform:Facultyplanningtoteachonline/hybrid/hyflex,regardlessof previousonlineteachingexperience. Deadline:Allformsshouldbesubmittedto form is 2 pages long and contains:

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Online/Hybrid/HyFlexCourseRequestForm
Whomustcompletethisform:Facultyplanningtoteachonline/hybrid/hyflex,regardlessof
previousonlineteachingexperience.
Deadline:AllformsshouldbesubmittedtoyourdepartmentheadonorbeforeAugust1,
2020.
Directions:MontanaTechiscommittedtoprovidinghigh‐qualityonlineinstructionforour
students.Inordertoensureaconsistentonlineexperiencefacultyinterestedinofferingan
online/hybrid/hyflexcoursewillberequiredtousethefollowing:
Moodleastheironlinedeliveryplatform
Asyllabus(atemplateisavailableasanexampleofa“bestpractice”foronline
courses)
Completefive(5)qualityonlinelearningandteachingworkshops
Completeoneformforeachcourse
AreyouawarethatthefoundationalplatformrequiredisMoodle?Yes No
CourseNumber,Title:______________________
SectionNumber(s):_________________________
CourseCredits:___________
CoursePre‐reqs:_________________________________
Haveyouofferedthiscourseonlinebefore?Yes No
IfYESwhenwasthelastsemesteroffered:_____________________
Whatwasthemethodofdelivery?____________________________
Whichmethoddoyouplantousefortheupcomingsemester?
Fullyonline(100%)
Hybrid/hyflex(lessthan100%online)
Asynchronous/synchronous/both
Ifteachingsynchronous,whatwillyoudoforstudentsthatarenotabletoattend?
___________________________________________________________________
Doyouintendtoteachfroma:Classroom___Office___Home___
Other:______________________________________________________
Whatisyourstrategyforholdingofficehours?____________________________
Doyouhavetherequiredequipmentforonlinecoursedelivery?Checkallthatapply:
___Computer
___Microphone
___Headset
___Camera
___High‐speedInternetConnection
___Other_____________________
Ifnot,listtheequipmentyouwillneed_________________________________
Academicintegrityofakeytenantofhighereducation.Pleasedescribehowyouaregoingto
ensuretheacademicintegrityofyourcourseassessmenttools(exams,quizzes,assignments,
etc.)___________________________________________________________________
IacknowledgethatalloftheinformationprovidedaboutmycourseisaccurateandI
understandthatinordertoteachanonline/hybrid/hyflexcourseIwilluseMoodle,asyllabus
andattendallrequiredtrainings/workshops.
_________________________________________________ ____________
NameDate
________________________________________________ ____________
DepartmentHead(Name,Signature)Date
________________________________________________ ____________
Dean(Name,Signature)Date
________________________________________________ ____________
GraduateDean(Name,Signature)onlyapplicableifagraduatecourse Date
Course:Approved NotApproved
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Form 2020.: OnlineHybridHyFlexCourseRequestForm Whomustcompletethisform:Facultyplanningtoteachonlinehybridhyflex,regardlessof previousonlineteachingexperience. Deadline:AllformsshouldbesubmittedtoyourdepartmentheadonorbeforeAugust1, Directions:Montana

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Completed 23 July 2020

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