Course Shell Request Form

First Name *

Last Name *

Campus Email *

Phone *

Course / Section Codes *

Course Type *

Department *

Publisher E-Pack *

Yes

No

First Term to be Offered *

Copy Or New Course Shell *

Copy

New

Teach Your Course Remotely (TYCR) *

Additional Information: Please describe any additional assistance you think you may need to get started. If you are requesting a test site please tell us how long you will need it and it's intended use.

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