Course Review Form

Online Course Review Form
Requestor's Name*

First NameLast Name
Requestor's Email*
Please provide your @wiu.edu email address
Course Information
What is the course name?*
What is the course number?*
What is the Course start date*
What is the Course OU number?*
Enter the course, click on Course Home then Copy the last six digits of the URL and paste them into the field provided.
What is the Course Designer's name?*
Is this a?*

New Course offeringCourse revision
By checking the box below, I agree that I have already run my course through the course checklist provided at https://wiu.edu/citr/home/documents/OnlineCourseRequirementChecklistForm2019.pdf. I acknowledge that if the instructional designer begins to review my course and notices multiple elements have not been checked they will return the checklist to me for further review before completing their review.*

I agree that I have already run my course through the course checklist and it is ready to be reviewed by the instructional designer.
Should be Empty:

Online Course Review Form