Distance Course Request Form

Distance Course Request

Contact Dennis Hitchcox if you have questions.

This form is used by Division Deans or Department Chairs to:

Create a new Web Course
Revise an existing Web course
Take over an existing Web course with minimal changes
Other (Including the creation/enhancement of a Telecourse, ITV course, or Classroom/Web Course.)

Your Information: Your Name: PCC Email:

Proposed Course: Course Name: Course Number: Credits: Instructor: Instructor Email: Instructor Phone #: Department Chair: Division Dean:

Request:

Choose the type of request: (please describe below)

Additional Info: Briefly describe what you are proposing.

Timeline for Development:

Learn more about the timeline for development.

Development Cycle: First term to teach: Enter the term you would like to begin teaching this course.

Compensation for the Instructor:

Learn more about the levels of compensation.

Compensation: Stipend No stipend The Letter of Agreement will reflect the appropriate level.

Training for the Instructor:

Learn more about the instructor training options.

Training: OIO (Online Instructor orientation) Mentoring No Training

After the Distance Learning Department has received you request, the request will be evaluated to see if the course should proceed into the development process. Once the request has been approved by Distance Learning a Letter of Agreement will be created and sent to the Division Dean for signatures.