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University of Maryland School of Social Work

Blackboard Course Creation Request Form

Please complete the following form.  It will automatically be sent to the appropriate personnel who will be in touch with you in the near future regarding your request.  In the meantime, if you have a question please e-mail David Pitts.

Submission Date « mm/dd/yyyy
Term «	-- Select from the following -- Summer 2008 Fall 2008
CRN (Course Reference Number) « It's on the course schedule (e.g. 20123)
School « Use Default Value	-- Select from the following -- SOWK
Course Name/Number « (e.g. SOWK 600)
Course Section Number «
Course Name «
Course Description
If Copy From Existing Course, Please Provide Course ID
Instructor Name «
Blackboard ID for Instructor « Usually your UMNet login ID
Blackboard ID #2: « Use Default Value	-- Select from the following -- demossw (ssw tech support)
Phone « xxx-xxx-xxxx
Name of Submitter «
Submitter Email « your email address
Fields marked with "«" are required.

Please refer to www.umaryland.edu/cits/forms/authorize.html for a list of the Departments/Schools authorizing personnel.

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