Name:  Campus E-mail Address:  Campus Phone Number:  Department:  Institution:  (Select the most applicable description.) Arts & Science general education Integrated or interdisciplinary theme Course for pre-service teachers Team handling multiple sections of a course  Departmental curriculum revision Science, Math, or Engineering Other:  Number and Name of course: eg.: 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? Click box to application when completed. You will receive a copy by return e-mail as confirmation of receipt within 24 hours.

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