Form 1A INITIAL DISTANCE LEARNING DELIVERY of an EXISTING PROGRAM (First Distance Learning Program Offering by an Institution) Institution: Approved by President or Vice President for Academic Affairs: ____________________________________________________ Date: School/Division: Department: Departmental Contact: Name of Existing Program: Degree: Major: CIP Code: Anticipated Start Date for Distance Learning Delivery: Indicate whether the program will be nominated for inclusion with the SREB Electronic Campus (Yes or No): Note: The institution will submit all approved online programs for inclusion in the Georgia On My Line (GoML) directory. Approval by Chief Business Officer (or designee): _________________________________________ Contact Information: Approval by Chief Information Officer or designee: _________________________________________ Contact Information: Form Revised 12/20/2012 1 Form 1A 1) Similar Programs in the USG and Justification of Need Include a list of existing similar distance education programs offered within the University System of Georgia. Include a justification of the need for an additional distance learning program. 2) Institutional Delivery of an Existing Program in an Online Format a. Provide a brief history of the program and the need to offer the program online b. Curriculum and Instruction i. Demonstration that the selected delivery technology is compatible with the nature and objectives of the program and courses. ii. Identification of whether instruction will be offered synchronously or asynchronously; online only or blended. iii. For collaborative programs, demonstration that changes to the curriculum will be coordinated and communicated among institutional partners. iv. Delineation of how grade disputes and other academic matters will be adjudicated within the collaborative. c. Faculty Description of the online teaching experience or training of faculty who will teach in the program. d. Student Demand Data Data indicating student demand for delivering the program online. e. Student Support and Administrative Support Services Available i. Description of how the following services will be made available to students and faculty: 1. Registration 2. Library Services 3. Learning Support and Tutoring 4. Academic Advising 5. Disability Services 6. Career Guidance 7. Bookstore 8. Testing and Evaluation 9. Financial Aid 10. Technical Support (Help Desk, etc.) 11. Instructional Design Support 12. Hardware and Software Requirements for Students and Faculty 13. Online Orientation Developed for Students and Faculty 14. Student Records and Tracking 15. Remote Site Accessibility Form Revised 12/20/2012 2 Form 1A f. Cross-Departmental Planning and Coordination i. Description of the involvement of various departments in the development and coordination of the program inclusive of the campus department, information technology, business services, and other applicable units. Form Revised 12/20/2012 3