Academic Support for E-Learning (ASE) eMentor Application
(Attach additional pages as needed)
Applicant:
Office & Phone:
School:
Program:
Please rate your expertise in the following areas.
Novice
Advanced
Student learning modalities
Instructional content development tools
Instructional content design
Effective use of online instructional tools (e.g., discussion,
Blackboard Collaborate, streaming video)
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Online assignment submission, grading, and return
Testing students on course content in an online environment
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E-Learning Expertise:
Please give specific examples to illustrate your expertise. Describe activities and learning modalities. Examples
might include video lecture, tutorials, virtual lab, team projects, student-led discussion, pre-packaged computer
based materials such as textbook e-packs, workplace learning, research, individual presentations, instructor/student
interactions, student/student interactions. In addition, please tie your description to the resources you are requesting.
Instructional Benefits:
How do you anticipate that your expertise will enrich the instructional environment developed by your mentee,
including assessment of student learning, student engagement, and instructional continuity? How do you plan help
you mentee assess these factors?
E-Learning Development Project:
In exchange for sharing expertise with their ASE Participants, eMentors are awarded a grant of $2000 to be used to
further advance their E-Learning expertise. Describe specific tools or tool features to be purchased, professional or
development resources to be used – training, conference, attendance, software or hardware acquisition, maximum
budget of $2,000
Resource
□
Outside training
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Conference Attendance
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Software
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Hardware
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Other
Description
Budget
(Please include conference
brochure or link to conference
web site)
Total
Not to exceed $2,000
I understand that if I am chosen for this program and elect to participate that I will be committing to 2 years of
participation. I understand that I am expected to communicate with my assigned mentees regularly, respond
promptly to periodic progress inquiries, and present a poster describing my project for the 2015 Stockton Day of
Scholarship.
Signature
Date: