Fillable MERCED COLLEGE Distance Education Program DISTANCE EDUCATION INSTRUCTOR (Merced College)

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MERCED COLLEGE Distance Education Program DISTANCE EDUCATION INSTRUCTOR (Merced College)

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MERCED COLLEGE
Distance Education Program
DISTANCE EDUCATION INSTRUCTOR CERTIFICATION
Last Name First Date
Department Discipline
E-mail Ext. Other Phone
Dean
Years
Teaching
Full-time Adjunct
Courses
Taught
Yes No
Yes No
If so,
where?
Yes No
If no,
explain.
DE COURSES TAUGHT AT COMMUNITY COLLEGE/UNIVERSITY LEVEL IN THE LAST 3 YEARS
College Address
Dates
Attach Copy of
DE Syllabus
Canvas
Blackboard/
Other
Course(s)
College Address
Dates
Attach Copy of
DE Syllabus
Canvas
Blackboard/
Other
Course(s)
Other Address
Dates
Attach Copy of
DE Syllabus
Canvas
Blackboard/
Other
Course(s)
DE TRAINING
Please list your online training.
Organization
Address LMS
Weblink
Organization
Address LMS
Weblink
Organization
Address LMS
Weblink
Have you taught online courses in
Canvas?
Have you taught 2 online sections in
the last three years?
Can you provide documentation of
DE experience?
If no, which LMS have you
used?
How many years at
MC?
(Please attach proof of certification and/or
other materials or courses)
(Please attach proof of certification and/or
other materials or courses)
(Please attach proof of certification and/or
other materials or courses)
SUBMIT
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MERCED COLLEGE Distance Education Program DISTANCE EDUCATION INSTRUCTOR (Merced College)

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Completed 5 September 2020

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