should complete the form below and deliver it to the Chair, who will forward it to the proposed Director of Online Programs. Final approval must be made by the Vice President of Academic Affairs.

First-semester online students exclusively at a distance are to be assessed of readiness, prior to semester start, of ability to completing all course material virtually. Assessment should be in the form of an online readiness tool or software (e.g. Smartermeasure), if possible, or by other methods deemed appropriate by the online instructor, advisor, or Director of Online Programs. Final approval must be made by the Vice President of Academic Affairs for students not meeting this standard.

Instructions: Please complete the information below. This form should be signed by the Chair of the student's major, who, upon approval, will forward it to the Director of Online Programs (if appointed). The Vice President of Academic Affairs decides final approval.

Virtual courses are those with no face-to-face meetings. The entire delivery of course content and assessment of student learning is distributed through an online learning management system, such as Blackboard.

Student Name: ___ CWID: ___

Home Address: ___

Street City State Zip

Home Phone: (___) ___ Advisor: ___

Course Requested: _____ Semester: _____

Reason for Requesting to Enroll in a Virtual Course (be sure to attach relevant documentation): ___

Explain any Prior Success in Virtual Courses:

By signing below, the student acknowledges that since there are no on-campus meetings for a virtual course, he or she recognizes the importance of the discipline required for successfully completing a virtual course, including logging on regularly and submitting assignments according to due dates.