Moodle Course Request Form NOTE: If requesting multiple courses, click "Request Another" after each course except the last one. Click "Done" after the last one.
1. Instructor's Name:	2. Instructor's Email Address: A confirming email will be sent to this address.	3. Instructor's Username: ...such as: smithj or smit4213
4. Name of requested Course: ...such as: CIS 110 Intro. to Computers	5. Section Number(s) requested: ...such as OL1. (Use OL1-OL2-OL3 for one combined course or OL1, OL2, OL3 for separate courses)	6. Source of requested Course: copied from a previous course new blank course downloaded from VLC

If this requested course is to be copied from a previous course, please provide the following:
7. Name of Previous Course:                       ...such as: CIS 110 Intro. to Computers	8. Course ID of Previous Course (such as: 2008FA-CIS-110-OL1): Please be accurate so that previous course can be positively identified.
Do you want either of these course materials copied from the previous course?            9. Announcements?   Yes (Automatically copied)                                           10. Forums?   Yes (Automatically copied, without posts)

11. Are you developing it for students to use sometime after next semester? Yes    No   (If yes, change 5. Section Number(s) of Course to DEV)		12. Will the course need a course cartridge downloaded? Yes    No   (If so, be sure it is for Moodle and have publisher send it to worsleya@edgecombe.edu)
13. Non-editing Teacher: (If you have been requested to do so, please enter the name of either your Dean or Department Chair to act as Non-editing Teacher.)	14. Other Instructions, Comments, etc.: