Course [Re]Design Institute Application Form (May 22 - 24, 2017)
Please complete this application if you would like to be a participant in the CTL's Course [Re]Design Institute, May 22 - 24, 2017; 10am - 4pm. Note: participants must commit to participating in all three days of the Institute. Space is limited to 16 participants. All Columbia faculty instructors welcome to apply. Submission deadline: April 21, 2017.
Email address
Your Information
First Name:
Your answer
Last Name:
Your answer
Department, School:
Your answer
Your role at Columbia University:
Institute Requirement
Selected participants must commit to participating in all three days of the Institute. This experience is designed to build community amongst participants who are undertaking this design process, and because the sessions are interconnected, participation in the entire experience is needed.
If selected, I will participate in all three days of the Institute (May 22, May 23, and May 24).
Required
Your Course [Re]Design
Please provide us with some information about the course you will be developing or revising during the Institute
Course Name and Number:
Your answer
Brief description:
Your answer
Anticipated enrollment:
Your answer
Type of course:
Please indicate if this is an undergraduate, graduate, required, elective, Core, professional or other particular characteristic of the course (e.g., co-taught, involves multiple TAs, etc).
Your answer
Is this a new course or course redesign?
Required
When do you anticipate teaching this course?
Please indicate the term in which you plan to teach the newly designed or [re]designed course.
Your answer
Your Goals
Please indicate two to three specific things you hope to accomplish by participating in the Institute:
Your answer
Additional information, questions, or concerns.
Your answer
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