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Events & Workshops
Event & Workshop Registration
2017 PASSHE Virtual Conference
Online Faculty Travel Grant
The WOW! Grant
Wednesday, September 16, 2015 at Noon – Jackson Avenue Center
Instructor and Course Information
I am on schedule to teach an online course at the University of Mississippi
Course Number and Title
Semester and Year
I have received support to submit this application from my department chair.
Prior Experience Information
Please answer the following questions and provide full descriptions to expedite the evaluation process. Feel free to attach additional documents as necessary. Completion of this application does not guarantee approval.
Education or Training Experience
I completed formal education, a training program, or course(s) in online learning pedagogy within the past three years.
Examples include: a degree in instructional design, instructional technology, learning technology, or a closely related field; an online faculty training program at another higher education institution; OLC Online Teaching Certificate or similar programs
Name of Degree or Training Program
Attach a copy of the Certificate
Describe any formal education or training you have had in online learning pedagogy, including length of training, topics covered, mode (i.e., face to face, online), and name of institution.
Recent Online Teaching Experience
Within the past three years I have experience: (select all that apply)
Teaching at least one fully online course at an accredited institution of higher education
Actively using asynchronous interaction within my online course(s)
Creating online course materials based on good practices of learning and/or instructional design
Teaching using a learning management system (LMS) such as: Blackboard, Canvas, Desire2Learn, Moodle, etc.
List all courses you have taught fully online within the past three years. For each course please provide name of institution, semester taught, and course title.
Please provide a copy of a syllabus from a course you taught fully online within the past three years.
Please provide an online assessment artifact from a course you taught fully online within the past three years.
Assessment artifacts are assignments with specific tasks/questions that measure specific student learning outcome(s). Online assessment artifacts include authentic assessments, active learning assignments, individual or group projects, and grading rubrics.
Describe specific methods that you have used to promote student engagement and asynchronous learning in the course(s) you taught online.
Please provide an online lecture or instructional material you created for an online course you taught within the past three years.
Acceptable formats: documents (PDF, Word, Excel, HTML). For audio, video, Powerpoint, presentation, or other file types, please submit links to a cloud storage or streaming platform.
Describe how you have used a learning management system and tools (i.e., Blackboard, Canvas, Desire2Learn, Moodle, etc.) to teach online.
Additional Documents (Optional)
Additional Comments (Optional)
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