Illinois Extension Online Course Request/Planning Form

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The form will take approximately 6 minutes to complete. Completing this planning form is the first step in developing an Extension online course*. The questions are designed to help you think through the development process and it is ok to not have all the answers right away. Approval from your Program Leader and your County Director are required and is the final question in the form. You may want to seek approval before beginning this form. After submitting your request, we’ll create your course space in Moodle and set up a meeting to get you on your way to developing the course.

*course = course, training, module; asynchronous, blended, traditional; online conference

Email *

Tell us about your course.

Proposed course name (a working title or descriptive title is fine): *

With which grand challenges does this course align?
*

Community

Economy

Environment

Food

Health

Required

Please indicate the program area(s) involved with this course.
*

4-H

AAB

CED

FCS

IHD

NREE

Required

Please describe the target audience.
*

Please choose the option that best describes this course:
*

This course replaces an existing in-person program (workshop, training, course)

This course complements an existing in-person program (workshop, training, course)

This is a completely new course.

If relevant: Please describe which program this course is replacing/complementing.

If you have a course launch date in mind, please include that below.

Please add any other information about your course that you would like to share.

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