Category of Course:	(Select the most applicable description.)
Arts & Science general education Integrated or interdisciplinary theme Course for pre-service teachers Departmental curriculum revision Team handling multiple sections of a course	Introductory science Introductory mathematics Engineering Other:

Name or description of course:
Existing course to be transformed New course to be developed	Estimated number of students/section?  Estimated number of sections?

Previous Experience or Expertise with:
Collaborative / group learning:	Extensive	Some	None
Teaching with technology:	Extensive	Some	None

What are your objectives for students in this course?

How would you like to change the way you teach?

How would supplemental funding (~$1000) assist your development of this course?