Course Shell Request Form

Completing this form will allow Online Studies to copy a course, create a course shell for either a new or existing course and/or start the course development or redevelopment process.

Name

Department

Phone

Type of Course Needed

Academic Course (Complete all sections below)

Course shell copied from existing course (please complete Course Information below only)

Faculty promotion shell

If Faculty promotion, provide name of faculty member

Additional Information (check all that apply)

Course needs minor redevelopment (ie textbook change or update 3rd party material)

Complete redevelopment of course

Course will include publisher materials (Hawkes, Cengage/Mindtap, etc)

Specify publisher materials

Course will include Open Education Resources (OER).

Other

If other, please specify

Semester Course to be Developed For

(Courses CANNOT be created concurrently in the semester they are being taught.)

Fall Spring Summer

Year Course to be Developed For

Delivery and Length of Course (check all that apply)

15-week on-ground

15-week online

15-week hybrid

7.5-week on-ground

7.5-week online

7.5-week hybrid

Other (please specify)

If other delivery, please specify:

Type of Course New Existing Repository

If new or existing, provide syllabus approval date

Course Information

Course Code and Number

Course Name

Course Copied From (if applicable)

Course Copied To (if applicable)

Required Completion Date

Course Developer Information (if applicable)

Name

Phone

Developer Status

Existing Adjunct

New Adjunct/Subject Matter Expert

If you are human leave this field blank

If you have any questions regarding the form, please contact Online Studies at 860‑913‑2223.