Academic Coach Request for UT - Rio Grande Valley

Academic Coach Request for UTRGV

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.
Today's Date*

MonthDayYear
Date of Request:
OLD
Requested by:

The individual that will be approving the Academic Coach(es) to be assigned to the course and/or will be the Faculty of Record for the course.
Name:*
First & Last Name
Job Title:*
i.e. Professor, Faculty, Instructor etc.
College, Dept, or Program*
i.e. Education, Business, Nursing, Public Affairs, Etc.
University Email Address:*
Phone Number:*
Preferred Method Contact:
Program Chair or Dean's Name:*
First & Last Name
Program Chair or Dean's Email:*
A copy of this request will be sent to the email address provided here.
Course Information:

One course and start date should be listed per form submission. Separate submissions will be required for other course start dates of the same course. ** Request submitted within 5 days, on or after the course start date may not be able to be fulfilled. **
The course/s must meet the enrollment requirements below, as well as training.
- Traditional Undergrad Courses: 60 enrolled, 75 minimum cap
- Traditional Grad Courses: 45 enrolled
- Accelerated Courses: No enrollment size required
Any questions, please do not hesitate to reach out to Toni Saldivar, at antonia.saldivar01@utrgv.edu.
Course Start Date:*

MonthDayYear
Start Date:
Old Field
Course Number:*
As listed in catalog
Full Course Name/Title:*
As listed in the course catalog
Level of Course*
Course Length:*
# of Weeks
# Credit Hours:*
CRN # *
Expected/Current Enrollment and Course Cap*
Example: 45 enrolled / 100 Course Cap
Academic Coach Workload:
Work expectations of the Academic Coach:*
How many non-LMS graded assignments per week, types of assignments to be graded, discussion thread responsibilities, etc.
Requested/Preferred Academic Coach Credentials:

Please be specific and provide details so we may find the best match for the course.
Academic Credentials Requested:*
Please be specific, provide the subject area/majors of the degree 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 Assistant/Coach for IC, please make sure to have them submit an application through the "Faculty Referral Application" - https://form.jotform.com/ICForms/faculty-referred-coach

Please note this link is not publicly posted or available on IC's website, and you will be responsible for providing the link to the individual you are referring to complete our application, screening, and onboarding process required to be assigned as an AA to an upcoming course.

The onboarding time frame for a new Academic Coach is approx. 3-6 weeks and completely dependent on the candidate's active and timely participation in the required screening session, passing of a background check, and submission of New Hire Documentation and all official transcripts. Successful completion and passing of a Pre-Employment Screening session are REQUIRED. The Pre-Employment Screening session is a virtual interview that is only offered twice monthly. The sessions are self-paced, facilitated, and graded over one week. A minimum score of 85% or greater is required to be considered for advancement in the process. The virtual interview sessions are only offered twice a month.

Individuals already contacted and employed by Instructional Connections as an Academic Assistant/Coach with Instructional Connections do NOT need to reapply.
Do you have a preferred candidate for this course?*

Yes, current IC Academic Coach.Yes, not an IC Academic Coach yet. I (the faculty) will have them submit Faculty Referral Application (see above).No
Name of Preferred Coach(es)/ Candidate(s):
First & Last Name for each Academic Coach that is qualified and preferred for this course.
Requests should be submitted a minimum of 4-6 weeks before 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. **
Should be Empty:

Academic Coach Request for UTRGV

Requested by:

Course Information:

Academic Coach Workload:

Requested/Preferred Academic Coach Credentials: