Online Learning Course Request Form
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Online Course Request Form
If more than 50 percent of any section of a course is taught using online learning methods,
this form must be completed by the instructor and approved by the Department/Division
Chair, Dean, and Online Learning Committee. The course syllabus must be attached to the
form.
Department/
Instructor
Program/
Course Number
Course Title
Instructor/Course
Developer
Date Approved by
Department/Program
Effective Date for
Course to be Online:
A. Need/Justification
(Please check all that apply to your course and add other appropriate justifications in the
section entitled “Other”) Reasons for offering this online learning course may include:
_____ Increase Access: Online learning courses are very appealing to students who have
work, parenting, or other scheduling conflicts that make attending traditionally
taught, campus-based classes difficult or impossible. Students who regularly take
campus-based classes may also appreciate the convenience offered by online
learning.
_____ Serve New Students: In addition to increasing access, online learning classes
may attract students who otherwise might not participate in higher education at all.
_____Other (please specify):________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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Online Learning Course Request Form
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B. Who is your target population? Include the characteristics of the population you are
planning to reach and what knowledge and technical skills you expect them to have in order
to successfully complete this course. Also include any prerequisites students should possess
prior to enrolling in the course.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
C. Course Design
The university has adopted standards regarding the design of a new online class. Will your
design meet the below listed criteria? If not, explain what will not comply and why.
____ Yes
_____ No (If no, explain) ___________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Design Criteria:
1. The overall course design is made clear to the students at the beginning of the
course. The course introduction sets the tone for the course, lets students know
what to expect, and provides guidance to ensure they get off to a good start.
a. It is clear how to get started and where to find various course components.
b. Students are introduced to purpose and structure of the course.
c. Etiquette (netiquette) expectations for online discussions, email, and other
forms of communication are clearly stated.
d. Course and institutional policies with which the student is expected to
comply are clearly stated, or link to current policies is provided.
e. Prerequisite knowledge in the discipline and/or any required competencies
are clearly stated.
f. Minimum technical skills expected of the student are clearly stated.
g. A self-introduction by the instructor is available (bio/instructor info page,
discussion intro, etc.)
h. Students are asked to introduce themselves to the class.
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Online Learning Course Request Form
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2. Learning objectives are measurable and are clearly stated. Learning objectives
establish a foundation upon which the rest of the course is based.
a. The course learning objectives describe outcomes that are measurable.
b. The module/unit learning objectives describe outcomes that are measurable and
consistent with course-level learning objectives. (If unit objectives are in the
textbook, it will be sufficient to reference that they are available there)
c. Learning objectives are stated clearly and written from the student’s
perspective.
d. How students can meet the learning objectives are clearly stated.
e. Learning objectives are appropriately designed for the level of the course.
3. Assessment strategies are designed to evaluate student progress of stated
learning objectives; to measure the effectiveness of student learning; integral to
learning process.
a. The types of assessments selected measure the stated learning objectives and
are consistent with the course activities and resources.
b. The course grading policy is clearly stated.
c. Specific and descriptive criteria are provided for the evaluation of students’
work; tied to the course grading policy.
d. Students have multiple opportunities to measure their own learning
progress.
4. Instructional materials are sufficiently comprehensive to achieve stated
course objectives and learning outcomes.
a. The instructional materials contribute to the achievement of the stated
course/unit objectives.
b. The purpose of the instructional materials and how they are to be used for
learning is clear.
c. The distinction between required and optional material is clearly explained.
5. Forms of interaction incorporated in the course motivate students and
promote learning. This standard includes student-instructor, student-content,
and student-student interactions. Courses should integrate multiple forms of
interaction.
a. Learning activities promote the achievement of the stated course/unit
learning objectives.
b. Learning activities provide opportunities for interaction that support active
learning.
c. Instructor has provided a plan for classroom response time, including
feedback on assignments.
d. The requirements for student interaction are clearly articulated.
6. Course navigation and technology support student engagement and ensure
access to course components.
a. The tools and media support the course/unit learning objectives.
b. Course tools and media support student engagement and active learning.
c. Navigation throughout the online components is logical, consistent, and
efficient.
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7. Appropriate security measures are included to ensure academic integrity.
a. Assessments are used throughout the course. (not just at the end)
b. A variety of assignments and assessment methods are used to increase rigor
and provide instructor multiple ways to assess student performance
consistency. (not just exams)
c. The course adheres to the online course exam proctoring policy (found at
http://www.nwosu.edu/Websites/NWOSU/images/OnlineEducation/Onlin
e_Course_Proctoring_Policy.pdf) and it is clear which of the exams will
have the proctoring requirement.
D. Enrollment/Class Size
Class size will be determined by the instructor, department chair, and school dean. (Current
research indicates that classes of 15-20 are common with 25 considered the maximum that
can readily by managed in an online class.)
Expected class size _____
Minimum class size _____
Maximum class size _____
Signatures:
Person completing this form ________________________________Date ___________
Department Chair ________________________________________Date
School Dean ____________________________________________ Date
Coordinator of Distance Learning ___________________________ Date ___________
Updated 2/2015