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.
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: ___
The quick brown fox jumps over the lazy dog.
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.
Student's Signature: ___
Date: ___
Chair's Signature: ___ Date: ___