Academy Course Enrollment Form

January 12 – February 23, 2018


Early Enrollment begins: December 1
Open Enrollment for all colleges begins: December 4


Select One of the Following Courses
(Faculty may only participate in one Academy course at a time.)
Incorporating Active Learning Strategies in the College Classroom
Technology Bootcamp II

College

First Name
Last Name
Courses Teaching This Semester
E-mail Address
Work Address
City
State      Zip Code
Phone Number
Alternate Phone Number
Fax
Are your familiar with the
Blackboard course platform?

Yes
No

Classification:

Full-time Faculty
Part-time Faculty

photo as answer to security question

Security Question:
What animal do you see?
Please enter one word, lowercase (i.e. dog, horse, cow, etc.).