Desire2Learn Course Request Form
Instructor Information
Name:
Department:
Telephone number:
Email address:
include your full email address (e.g., doeja@uwec.edu)
Course Information
College:
Please select college
College of Arts and Sciences
College of Business
College of Education and Human Sciences
College of Nursing and Health Sciences
Other
Course title:
Ex: College Algebra
Course Department:
Ex: MATH (or NONE for non-academic courses)
Course Number:
Ex. 110
Section number(s):
Ex: 001, A01
NOTE: If you are teaching multiple sections, would you like:
one course for all sections
separate courses for each section
Semester :
please select semester
Summer 2013
Fall 2013
Development* (explain in text box below)
Project* (explain in text box below)
Course Crosslisted?
Yes
No
If "Yes", crosslisted with:
Dept, Course #
Others in Course:
Name and Username of 1st person
Please select role
Academic Assistant with grade access
Academic Assistant without grade access
Co-Instructor
Guest
Other* (please explain in text box below)
Role of 1st person
Name and Username of 2nd person
Please select role
Academic Assistant with grade access
Academic Assistant without grade access
Co-Instructor
Guest
Other* (please explain in text box below)
Role of 2nd person
Name and Username of 3rd person
Please select role
Academic Assistant with grade access
Academic Assistant without grade access
Co-Instructor
Guest
Other* (explain in text box below)
Role of 3rd person
Name and Username of 4th person
Please select role
Academic Assistant with grade access
Academic Assistant without grade access
Co-Instructor
Guest
Other* (please explain in text box below)
Role of 4th person
Generic Student:
Please select option
yes
no
Additional Information
Additional information (please use this field for special instructions or comments):
Please be patient while the request form processes. You will be taken to a D2L Course Request Form Results page when it completes the submission.
Thank you for your submission.