First Name:

Last Name:

Blackboard Designer Username:

Is this the first semester you are using Blackboard?
Yes No

Will you use self-registration to give students access to your class?
Yes No

First semester class will be used:
Fall Spring Summer

Purpose:
Development/Practice (not ready for students to view) On-line class On-Campus Supplemental Other (give detail in explanation box)

Explanation of Purpose:

Department:
------ AT BIT CHSS Faculty Development HWPS MSE SAGE Tax Help Other

Email:

Office Phone:

Name of Course:

Course Number: