OCRA Closing Form
To be completed by the Instructional Designer

This form is used to close out and certify the work of faculty who have completed all OCRA requirements.

Faculty / Course Details
Faculty Name *
Your answer
Datatel ID Number *
Your answer
Payment Cycle *
Department *
Your answer
Course Number *
Your answer
Course Title *
Your answer
Redesign Certification
Date Course Redesign Completed *
MM
/
DD
/
YYYY
Date QM Review Completed *
MM
/
DD
/
YYYY
Comments
Your answer
Submitted By
Instructional Designer Name *
Your answer
Date Submitted *
MM
/
DD
/
YYYY
Submit
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