Course Design Intake Form - Educational Development Centre

Name*

First Last

Carleton Email*

We require a Carleton email address, NOT Hotmail, Gmail, Yahoo, etc.

Phone

Department*

Course and Section*

I am a*

Faculty Member/Instructor
Contract Instructor
TA

What term(s) are you teaching:*

Fall 2020
Winter 2021
Early Summer 2021
Late Summer 2021
Full Summer 2021

Number of Students*

Have you taught this course before?

Yes
No

Would you like to use a course template for your course?

Yes
No

Would you like a accessible PowerPoint template to use in your course?

Yes
No

Do you plan to have a final exam in your course?

Yes
No

Course type

Converting a face-to-face course
Updating an online course
Developing a new online course

Technology: What do you need help with: (check all that apply)

Pedagogy: What do you need help with: (check all that apply)

Accessibility: What do you need help with: (check all that apply)

Creating accessible documents
Designing content, activities, and assessments for students with different needs
Making media accessible
Making time accommodations for students on exams

I would like to record my online course from a location on campus. My preference is:

A classroom
An office

I would like to teach my course synchronously (live) from a location on campus.

A classroom
An office

Note: A TLS team member will communicate with you to help assess your requirements and may guide you to a suitable location on campus. Depending on your requirements, classrooms may not be ideal location to teach your online class from. Alternatives will be suggested.

I would like a to consult/include a Librarian in my course.

Yes
No

I would like to consult with a teaching mentor in my discipline.

Yes
No

I would like to put my TA in touch with support and resources.

Yes
No
N/A

I'm not sure what I need from this list - I need a one-on-one consultation first

Yes
No

Other: Please describe

Please attach your course outline (or previous course outline) in PDF format

Drop files here or