College of Agricultural & Life Sciences
Distance Education Proposal Form
Course proposal forms for new distance education classes are due one year before the semester in which you propose to teach the course. Please fill out this form and mail or fax to the Associate Dean: Dr. Mark Rieger 2002 McCarty Hall D PO Box 110270 Fax: 352-392-8988 Name:________________________ Email:______________________ Date:____________ Phone: _________________ Fax: ____________________
Department: _________________________________________________________________________ Course Prefix & Number: ______________________________________________________________ Title: _________________________________________________________________________________ Prerequisites: ________________________________________________________________________ Semester and Year Proposed for Course Delivery: ______________________________________
Funding: Self-Supported
Request from Dept
Dean
If funds are requested, for what purpose? Check all that apply: TA Media Instructional Design Other (specify) ________________________
Primary Teaching Method: Lecture Method of Delivery: Web Videotape
Discussion CD/DVD
Learner
Based Other
Videoconference
Proposed Market (audience) for this Course: ___________________________________________
Please attach additional information to this proposal if you wish to elaborate. Elaboration may include: • Special resource needs • Justification for your course • Summary of existing teaching materials • Marketing information Signature of Faculty Member: _______________________________________ Date: ___________ Approval of Dept. Chair / Center Director: ___________________________ Date: ____________ Approval of Associate Dean: ________________________________________ Date: ____________