Your Information:

This section lists information about YOU (the person completing this form). It is especially important to complete this if you are completing the form for someone else.

Your Name:  

Your NSID Username (e.g. abc123):  

Your Telephone Number:  

Your E-mail Address:  

Course Information:

The following information describes the course and how it is listed within BBlearn. If it is a U of S Credit course, please enter the course code and course title from the University Calendar.

Course Code:

(as shown in the course calendar e.g. NURS 100)

Course Section #: (if applicable)

(If this development course is to be associated with a specific section of an active course, please include this information )

Course Title:

(as shown in the course calendar e.g. Introduction to Nursing)

When will it be used with students?

(when, if ever, will students need to access the course)

Course Type:

Template:

(existing BBLearn course to use as a template for this course)

Template Course Section #: (if applicable)

(If the template course you plan to use has a specific section number, please provide that information here.)

Additional Information:

The following information describes the course and how it is listed within Blackboard Learn 9. If it is a U of S Credit course, please enter the course code and course title from the University Calendar.