College of Education Minnesota State University, Mankato Request for Faculty Online Teaching Support As Funded By Differential Tuition - Spring 2012 The purpose of the COE Online Resource Center (ORC) provides support to both beginners and more seasoned faculty for the development, enhancement, and delivery of online and hybrid instruction. Please provide your contact information. Name: E-mail: Date Submitted to COE Technology Committee: Provide a brief description of your experience (development and delivery) and expertise with online and or hybrid course activities. Include the technology tools and services you have used for online or hybrid course activities (e.g. D2L, Camtasia, Adobe Connect, etc.) Provide a brief description of goals and purpose of your needs for development and delivery of online instruction. You may attach documentation that provides more detail. In addition to a general description, please also address the following information (provide responses under each bullet): What specific course(s) will the activities be for? Are these new or existing? (Please provide course number(s) and title(s).) o o o If existing, what is the current format? How many students are typically enrolled? If new, have these been approved by the MSU Curriculum Design System (CDS)? Yes No When will the online/hybrid format or activities be implemented? What online/hybrid activities are planned? What tools (e.g. software, hardware, services) for these will be employed? When will the work start and end? to 1 What is the task/time allocation for the requested stipend days? What deliverables will you provide as evidence that the project was completed? (For example: course syllabus, screen shots of activities.) What evidence of effectiveness will be included? (The committee recommends student evaluations of the course or activities.) Will you need additional help, such as GA or IT support or consultation? Funds requested: Software Description Curriculum Materials Description Hardware Description Cost: Cost: Cost: Time/Duty Day Request Cost: [Guidelines: Hybrid component development for traditional course = 1 duty day Transitioning traditional course to fully online course = 2 duty days Creating new online courses = 3 duty days] Total Funds Requested: The disposition of these resources will be reviewed by the ColEd Technology Committee or appropriate designee as determination will be based on availability of shared resources already available in the ColEd Faculty Resource Room or ITS. Signatures: Applicant: _____________________________________Date: Department Chair: ______________________________Date: Approval: COE Technology Committee Name ______________________________________________Date: COE Dean Signature __________________________________Date: 2