Course Design Institute Application
Please complete all the questions on this form to apply for the Course Design Institute program.

Full-time faculty and instructors are eligible to apply for the Summer Course Design Institute. Adjunct faculty who have taught at UMSL for at least one semester and who will be teaching at UMSL next year are also eligible. Graduate students with substantial course responsibilities are also welcome to apply.

Your application indicates you can meet the expectations described above. Applications should be completed using the online form. We will begin reviewing applications on Friday, April 12th. If open seats remain beyond that date, we will entertain additional applications until Friday, May 10th. No applications will be accepted after May 10th.

Section 1: About You
First Name: *
Your answer
Last Name: *
Your answer
Office Phone:
Your answer
Department: *
Your answer
College: *
Your answer
Email: *
Your answer
Rank: *
Your answer
Total Years Teaching: *
Your answer
Total Years at UMSL *
Your answer
Section 2: About the Course
Are you new to course design? *
Why do you want to participate in the Course Design Institute? *
Your answer
What particular course will you be targeting for design? *
(ex. PSYCH1001, ENGL6348, etc.)
Your answer
When is the next time you will be teaching this course? *
(ex. Fall 2018, Spring 2019, etc.)
Your answer
What type of pedagogy is used in this course? (list all that apply) *
examples include: lecture, discussion, service-learning, team-based learning, etc.
Your answer
Is this a redesign? *
Is this a lower division course? *
Is this course part of a professional degree program? If so, which? *
(ex. nursing, accounting, teaching, etc.)
Your answer
What is the typical class size for this course? *
Your answer
Section 3: Terms and Conditions
By submitting this form, if I am selected as a participant in this community, I agree to participate fully in the four-day intensive institute, including the associated readings, assignments, and follow-up. I will participate in sharing the things I have learned with faculty outside the community. I have read and agree to the Terms and Conditions put forth by the Center for Teaching and Learning. * Please check the box below. *
If you are an adjunct faculty member:
The Center for Teaching and Learning will verify your employment status with your Department Chair prior to admission into the Course Design Institute. (Due to rules and regulations, we need to ensure your department chair plans for you to be teaching next academic year.)
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