DISTANCE EDUCATION TRAINING REGISTRATION FORM 6 week

DISTANCE EDUCATION TRAINING REGISTRAITON FORM

6 Week Course
Name*

First NameLast Name
Cuesta College Email Address*
firstname_lastname@cuesta.edu, a Cuesta email address is required for communication and access to materials. Please make sure to check your Cuesta Email for course information.
Select a Session
Division*
Department (Abbreviation)*
Chair*
Dean*
Dean
Division Chair
What previous training or experience do you have related to teaching online, or using online technology? *
Faculty that have never taught DE before are eligible to receive compensation; faculty that are currently teaching or have taught DE previously are welcome to update their skills by taking this course but only eligible to receive flex credit.

By submitting this form, I certify that in order to receive a certificate of completion and earn compensation/flex I must meet the DE design standards presented in the course by the Cuesta College Instructional Designer and / or the Online Education Standards Subcommittee.
Faculty Requests*

Flex CreditCompensation
Agree to terms*

YesNo
Signature*

Clear
You will receive more information about the course starting one week prior to the course start date. If you have questions please contact Cynthia Wilshusen at cwilshus@cuesta.edu.

Click SUBMIT and leave the next section blank.
THIS SECTION TO BE COMPLETED BY DE STANDARDS SUBCOMMITTEE
Training Completed
Date Training Completed

MonthDayYear
Date
Signature

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DISTANCE EDUCATION TRAINING REGISTRAITON FORM