Request for Developing an Online Course (MSVCC)
Please fill in the following form to request to develop a course for online delivery through the MSVCC.
One course per sheet.
Instructor’s Name:
Instructor’s Holmes Email:
Instructor’s Holmes ID Number:
Instructor’s Campus:
Instructor’s Phone:
Office:
Cell:
Course Title:
Course Prefix:
Course Number:
First Term To Be Taught:
Summer Fall Spring 20
Is this your first time to teach online?
Yes No
Have you had Canvas Training?
Yes No
Year
Have you had Online Instructor Training
Yes No
Year
Have you attended Virtual Training Sessions?
Yes No
List all Training Sessions Attended
Please type your name and date.
Instructor
Date:
Department Chair
Date:
Campus – AcademicDean/
Career Technical Director
Date:
District – Vice President
Academic/Career Technical
Date:
eLearning Coordinator
Date:
Please do not write below this line.
Date Added to Banner:
Date Added to Enrollment Tool:
Course Title
Canvas Shell Created
Date Credentials Were Uploaded:
May 21, 2019