Please provide all of the following:

Contact Information

Name:

Department:

Work Phone:

E-mail:

Your University NetID: your logon to myUAlbany and the UNIX Cluster

Are you the Instructor of Record for the course? yes       no

Have you completed the BLS CE6 Basic Training? yes       no

Course Information: can be found on myUAlbany or UAlbany's Schedule of Classes

Course Title:

Course Subject: (e.g. AHIS) (Subject Table)

Catalog Number : (e.g. the "101" part of AHIS101 - include alpha as appropriate 101z, 101m, ...)

Class Number: 4 or 5 digit unique identifier - your roster will not load to BLS if not correct

Semester: select from list Spring 2009 Summer 2009 Fall 2009

This course is Crosslisted with: include subject, course & class number for each e.g. aaas100y_1234

This is a Shared Resource Course with: include subject, course & class number for each e.g. aaas100y_1234

Is this course being offered fully online? yes       no
Please note that teaching fully online requires permission of the department and training by ITS. Upon receiving this request, you will be contacted by Faculty Technology Resources regarding your request.