Facilitation Nominations

Select a Workshop Date:*
1/16/2017-2/24/20172/27/2017-4/14/20174/17/2017-5/26/20176/5/2017-7/14/20177/10/2017-8/18/20178/21/2017-9/29/201710/2/2017-11/10/201711/6/2017-12/15/2017

Select College*
College of BusinessCollege of Education and Professional StudiesCollege of Fine Arts and DesignCollege of Liberal ArtsCollege of Mathematics and ScienceUniversity/Academic Affairs

Select Department*
Academy of Contemporary MusicAccountingAdult Education and Safety ScienceAdvanced Professional and Special ServicesArtBiologyChemistryComputer ScienceCriminal JusticeCurriculum and InstructionDanceDesignEconomicsEducational Sciences, Foundations & ResearchEngineering and PhysicsEnglishFinanceForensic Science DepartmentFuneral ServiceHistory and GeographyHuman Environmental SciencesHumanities and PhilosophyInformation Systems and Operations ManagementKinesiology and Health StudiesLeadershipManagementMarketingMass CommunicationMathematics and StatisticsMilitary ScienceModern Languages, Lit & Cultural StudiesMusicNursingPolitical SciencePsychologySchool of Criminal JusticeSchool of MusicSociology/GER/SASTheatreUniversity

Prefix of Instructor*
Dr.Ms.Mr.Unknown

First Name of Instructor*

Last Name of Instructor*

Banner ID*
(i.e. *20128101)

Instructor Status*
Full-TimePart-TimeGraduate StudentNot currently employed at UCO

Instructor Email*

Instructor Phone #*
(405) 974-2000 or x2000

Identify the course to be taught online.

Semester/Year of Delivery

Approved by Department Chair

Form Completed By:*

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Email address

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