Approval Request Form for Course to be Taught by
Compressed Video or World Wide Web





Date of Submission: 

Has a Site Agreement been Completed?
Yes
No
Not Applicable
A site agreement must be completed before the Electronic Learning Committee can act upon your proposal to teach a course by compressed video.

Course Number: Semester Hours' Credit: 

Course Description: 

Instructor: 

Department: 

Telephone: 

E-mail Address: 

Quarter and Year Course to be Offered: 

Electronic Format to be Used:
Compressed Video
World Wide Web

If Compressed Video, what time and days will course be offered? 

Is this part of a duplicated program solution?YesNo