Developer/Instructor  Information

Name of Developer

Phone Number

Fax Number

E-mail Address

TTC/College/University

Course Title

Course Description

Audience

Why Does This Course Meet a Statewide Need?

When Do You Propose to Offer this Course?

List the Textbook Title, Author, Edition, Date, Publisher, ISBN—if applicable.

What Software is Required for Course Participants?

What are Your Qualifications for Teaching This Course? Please attach resume/vita.  Transcripts and Certifications May Be Required by Institution.

What Qualifications Must Other Instructors Teaching this Course Have?  List all Requirements.

D2L/Online Information

(  ) Yes  (  ) No

Have you previously taught the course you are proposing?

(  ) Yes  (  ) No

Have you previously taught this class online?

(  ) Yes  (  ) No

Have you previously taught any course online?

(  ) Yes  (  ) No

Have you previously taught a course online using D2L?

(  ) Yes  (  ) No

Have you previously developed an online course?

(  ) Yes  (  ) No

Have you had any formal D2L training? If Yes, list date(s), trainer, trainer e-mail address:

(  ) Yes  (  ) No

Have you reviewed syllabi (http://www.RODP.org/courses/) for courses that currently exist in the Regents Online Continuing Education program?

(  ) Yes  (  ) No

Are the prerequisite courses (if any) for the course you propose already offered in the Regents Online Continuing Education program?

      (  ) Yes  (  ) No

Have you met with a D2L trainer or qualified faculty or staff member about accomplishing the goals and objectives of your course’s content in D2L?

      (  ) Yes  (  ) No

Have you attached an electronic syllabus document to this application which specifically addresses the delivery of your course via asynchronous web-based delivery?

      (  ) Yes  (  ) No

Is your syllabus in the official ROCE template format? This template may be downloaded from http://www.rodp.org/roce/course_syllabus.htm.  (Please replace the generic name with the name of your course when saving the file.)

Check the D2L tools listed below that you will use to accomplish the goals and objectives of your course’s content in D2L.

(  ) D2L Course Management Tool

(  ) D2L E-mail Tool

(  ) D2L Discussion Board Tool

(  ) D2L Calendar Tool

(  ) D2L Assignment Drop Box Tool

(  ) D2L Quiz Tool

(  ) D2L Live Room Tool

Check the advanced technological tools below that you are interested in learning to use to accomplish the goals and objectives of your course’s content.

(  ) Respondus

(  ) Learning Objects on the Internet

(  ) External Testing Sites such as Hot Potatoes                  

(  ) Audio (wav, mp3, other)                  

(  ) Wimba audio

(  ) Impatica for PowerPoint

(  ) Photoshop, Paint Shop Pro, etc.

(  ) ASP pages

(  ) ASP.NET pages

(  ) Streaming media (Real, Windows, QuickTime)

(  ) CD/DVD Creation

(  ) Camtasia Screen Recordings

(  ) Flash

(  ) Java Applets

(  ) Subject specific software:

(  ) Other:

Check all tools below with which you are currently proficient and do not need additional training.

(  ) Respondus

(  ) Learning Objects on the Internet

(  ) External Testing Sites such as Hot Potatoes                  

(  ) Audio (wav, mp3, other)                  

(  ) Wimba audio

(  ) Impatica for PowerPoint

(  ) Photoshop, Paint Shop Pro, etc.

(  ) ASP pages

(  ) ASP.NET pages

(  ) Streaming media (Real, Windows, QuickTime)

(  ) CD/DVD Creation

(  ) Camtasia Screen Recordings

(  ) Flash

(  ) Java Applets

(  ) Subject specific software:

(  ) Other:

What goal(s) or objective(s) for this course will be the most difficult to transfer to the D2L format?

Approvals, Notifications, and Understandings

(  ) Yes  (  ) No

I understand this proposal is not complete until the attached signature page is signed by the Course Developer, Chief Continuing Education Officer, and the appropriate Vice President and received via postal mail at the RODP office.

(  ) Yes  (  ) No

I understand that contracts, salary, and other related employment activities are negotiated between the course developer and the local campus. The RODP/ROCE does not directly employ or compensate faculty.

(  ) Yes  (  ) No

I understand that I must sign an intellectual property right agreement at the local campus prior to training and course development.

(  ) Yes  (  ) No

I understand that I must entirely complete the development of this course including all related assessment activities one month prior to the start of the course.

(  ) Yes  (  ) No

I understand that I am required to maintain the master copy of the course throughout the contract period including revising assignment and quiz due dates one month prior to the beginning of each semester.

(  ) Yes  (  ) No

I understand that the ROCE is a collaborative model and that other instructors may be assigned sections of my course.

(  ) Yes  (  ) No

I understand that I will be asked to serve as a content mentor to other instructors teaching sections of my course and actively seek their input and collaboration in maintaining the course throughout the contract period.

(  ) Yes  (  ) No

I agree to successfully complete a one and one-half day training session hosted by the ROCE staff to include a discussion of the pedagogy/androgogy of online teaching and learning, an orientation to the ROCE policies and procedures, and an introduction to D2L.

( ) Yes  (  ) No

I agree to successfully complete at least two days of follow up training in the use of the D2L toolset either centrally or at the local campus. Topics covered should include content development, communication, and assessment using both the D2L quiz tool and the D2L assignment drop box. 

(  ) Yes  (  ) No

I understand that I am responsible for obtaining desk copies of textbook(s) and related material. These are usually available from the publisher at no charge. 

(  ) Yes  (  ) No

I agree to submit the textbook selection(s) and modifications to the ROCC central office staff one month in advance of the start of the course and that students are encouraged to purchase textbooks via the ROCE Virtual Bookstore.

(  ) Yes  (  ) No

I agree to follow the ROCE Standards of Good Practice for online non-credit courses and programs.

(  ) Yes  (  ) No

I understand that online courses require more than a transfer of lecture notes and PowerPoint presentations and typically involve multifaceted presentation and assessment techniques. 

(  ) Yes  (  ) No

I understand that the course is to be taught asynchronously and students cannot be required to attend an on-ground event. 

(  ) Yes  (  ) No

I agree to submit my course to the ROCE Review Committee one month (30 days) prior to the start of the first semester offered and to incorporate suggestions from the committee. 

(  ) Yes  (  ) No

I understand that course materials should be housed on ROCC servers. 

(  ) Yes  (  ) No

I agree to abide by the policies and procedures of the ROCE as noted on the ROCE web site and explained in the orientation session 

Signature

_____________________________________________________________

Course Developer

______________________

Date

Continuing Education or Workforce Development Official Information

Name

Phone Number

Fax Number

E-mail Address

TTC/College/University

Course Title

Course Prefix and Identification Number

Number of CEUs

Rationale for CEUs

Is This Course Required for Any ROCE Certificate Program?  If so, Identify the Program.

Is This Course Required for Any Proposed ROCE Certificate Program?  If so, Identify the Program.

Course Prerequisite(s).

Source

(check one)

(  ) New online (never offered online before)

(  ) Conversion to D2L from (list course management system in which
      the course is currently being offered):

Course Fee.  If You are Proposing a Course Fee Other Than the Standard Fee, Include a Justification.

Instructor Compensation. If You are Proposing Instructor Compensation Other Than the Standard Compensation, Include a Justification.

Signatures

______________________________________________________

Chief Continuing Education Officer

_______________

Date

______________________________________________________

Vice President

_______________

Date

RODP Internal Use Only (please do not write below this line)

Date Received

Date Forwarded to ROCE Curriculum Committee Chairperson

Date Assigned to ROCE Subcommittee

ROCE Subcommittee Assigned

ROCE Subcommittee Recommendation

ROCE Curriculum Committee Action Taken

ROCE Curriculum Committee Date of Action

Date of Notification to Course Developer

Notes