Academic Coach Request for Youngstown State U

Academic Coach Request for YSU

Please note that an Academic Coach Request should be submitted a minimum of 4-6 weeks prior to a course start date; ideally 6-8 weeks is preferred. ** Request submitted within 5 days, on or after the course start date may not be able to be fulfilled. ** Submitting an Academic Coach request does not bind the university to using an Academic Coach if the enrollments numbers to not reach the threshold established by the university or if the course is cancelled.
Date of Request:

MonthDayYear
Requested by:
Name of Faculty:*
Title:*
College/Dept/Program*
Email Address:*
Phone Number:*
Preferred Method Contact:
Program Chair or Dean's Name:*
Program Chair or Dean's Email:*
Course Information

One course and start date should be listed per form submission.
Course Start Date:*

MonthDayYear
Course #:*
Course Full Title:*
Course Length (# of Weeks)*
Level of Course*
Expected Student Enrollment and/or Course Cap*
Academic Coach Work Load:
Work expectations of the Academic Coach:*
Academic Coach Credentials:
Academic Credentials Requested:*
Work Experience Requested:*
If you have a preferred person you wish to have assigned to this course and they are not already a contracted Academic Coach for IC, please make sure to have them submit their application through the "Faculty Referral Application" - https://form.jotform.com/ICForms/faculty-referred-coach

The on-boarding time frame for a new Academic Coach is approx. 3-6 weeks and dependent on the candidates active and timely participation in the required screening session, passing of a background check and submission of New Hire Documentation. Completion and passing of a Pre-Employment Screening session is REQUIRED. The sessions are self-paced and graded over one week. A passing score of 85% or greater is required. The sessions are only offered twice a month.

Individuals that are already employed by Instructional Connections as an Academic Coach do NOT need to reapply.
Do you have a preferred candidate for this course?*
Name(s) of Preferred Candidate:
Should be Empty:

Academic Coach Request for YSU

Requested by:

Course Information

Academic Coach Work Load:

Academic Coach Credentials: