MDTC Instructor Class Request Form

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This form should only be completed by the MDTC Training Director OR the instructor requesting the class they would like to teach.

THIS IS NOT TO BE FILLED OUT BY POTENTIAL STUDENTS.

All requests for inclusion in the upcoming MDTC Training Session (ie, Session 2021-05, etc.), MUST be approved by the MDTC Training Director prior to addition and acceptance by the MDTC Online Services Committee to upload into CourseStorm.

Email *

Instructor Name *

Class Discipline *

Day of Class *

Class Start Date *

Enter the first day your class meets.

YYYY

Time of Class *

Time

Duration of Class *

Class Size (Maximum Number of Students)
*

Class Title *

Class title from previous session if this is a repeat offering. If your class is not listed, select the bottom entry for a new class and enter the title in the next question.

New Class Name (Required if this is a new course)

Class Description *

This is the description that will be listed on course storm.

Are there Prerequisites for this Class? *

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