Hybrid Course Request Form

Please complete this webform if you wish for some students to attend one day per week and the remaining students on another day. For example, if a course was scheduled to meet 8 a.m. TR and the desire is for 50% to attend Tuesday and the other 50% to attend Thursday, this form would need completed to create a new section.

Courses that intend to have this approach will require new section(s) be created to accommodate this structure.

Hybrid Course Request Form

Term

Session

Course Subject & Catalog Number

Existing Section Number

Course Title

Number of "New" sections for this existing section

Requested Enrollment Capacity for the existing section

Requested Enrollment Capacity for the new section(s)

Instructor(s) for new section(s)

Breakdown of In Person Meeting Plan (i.e. 50% M & 50% W)

Meeting Time(s) for In Person Meeting

Meeting Pattern 2 will indicate "Online". Is the Online component synchronous?

If it will be Online synchronous, please list the time

Additional Meeting Pattern Information

Requested Building/Room for Meeting Pattern 1

Notes

Hybrid courses require a Note in the Schedule of Classes indicating it will be taught partially in person and partially online. If the online portion will be synchronous, please identify that as well. In addition, if sections will be joined in eLearning, it must be disclosed in the Notes. Please list the Note as it should be listed in the Schedule of Classes.

Additional Comments

Primary Contact's Full Name

Primary Contact's Email Address

Department or College Requesting the Change

Department Head or Dean Requesting the Change