HYBRID/ONLINE COURSE MODIFICATION AGREEMENT

Note to Division Chairs and Faculty Members: This form must be completed by instructors assigned to teach an online or hybrid course for the first time and/orinstructors who are planning to make any revisions (defined below) to an online or hybrid course. Please distribute this form to instructors each semester for effective planning or access on the web@

Return the completed form to your Division’s Coordinator of eLearning (DCeL) who will forward it to the eLearnign Committee.If you need assistance completing this form, please contact your DCel).

Course Modification Agreement

The purpose of the course development/ revision process is to ensure that course design promotes a quality learning experience for distance education at KeystoneCollege.

A. Instructor Information

Name
Division
Office Phone
Fax Number
E-mail
Division Chairperson

B. Course Information

Course Title/Number
Credit Hours
Semester Delivered

C. Background

( ) Yes ( ) No / Have you previously taught the course in a F2F classroom format?
( ) Yes ( ) No / Have you previously taught this class online/hybrid?
( ) Yes ( ) No / Have you previously taught any course online? ( KeystoneCollege or Other college/university)
( ) Yes ( ) No / Have you previously taught any course using Moodle?
( ) Yes ( ) No / Have you previously developed an online or hybrid course?
( ) Yes ( ) No / Have you had any formal distance learning training?
( ) Yes ( ) No / Have you successfully taken the COAT training course?
( ) Yes ( ) No / Have you reviewed the syllabus for this course provided by the curriculum coordinator/division chair?
( ) Yes ( ) No / Have you met with qualified faculty member/ division chair about accomplishing the goals and objectives of your course’s content delivered at a distance?
( ) Yes ( ) No / Have you attached a syllabus document to this application which specifically addresses the delivery of your course via asynchronous web-based delivery?

D. Revisions Defined

( ) Yes ( ) No / I will be making revisions to this class
Significant Revision
( ) Yes ( ) No / For a significant revision of a continued online class (e.g. change in instructor or textbook). Timeline: two to three months prior to the first day of class.
Minor Revision
( ) Yes ( ) No / For a minor revision of an online class (e.g. change of modular sequence, assignments, or exam questions). Timeline: between two months to five weeks prior to the first day of class.

E. Approvals, Notifications, and Understandings

( ) Yes ( ) No / I understand that the DCeL and/or eLearning Committee will assess my course/revisions using the QM rubric as a benchmarking tool for Best Practices in distance learning at KC.
( ) Yes ( ) No / I understand I will meet with Educational Technology staff for additional training if needed.
( ) Yes ( ) No / I understand that no additional compensation/stipend will be provided for course revisions.
( ) Yes ( ) No / I understand that the College can re-use, re-purpose or transfer elements of this course.
( ) Yes ( ) No / I understand that QM (Best Practices) recommends that my course content be delivered using Learning Units/Learning Modules.
( ) Yes ( ) No / I agree to take part in COAT training sessions. ( If not already completed)
( ) Yes ( ) No / I understand that the course is to be taught asynchronously and students must be notified in advance of the start of the semester if they are required to attend an on-ground event.
( ) Yes ( ) No / I understand that online courses and modules require more than merely a transfer of lecture notes and PowerPoint presentations and typically involve multifaceted presentation and multiple assessment techniques.

Check the tools listed below that you will use to accomplish the goals and objectives of your course’s content in Moodle. Items in bold are required for use as best practices for elearning:

( ) Moodle E-mail Tool
( ) Moodle Discussion Board Tool
( ) Moodle Calendar Tool
( ) Moodle Submission Tool / ( ) Moodle Assessments/Quiz Tool
( ) Moodle Glossary Tool
( ) Moodle Chat Tool
( ) Moodle Virtual Classroom Tool
( ) Moodle Gradebook Tool

Check the advanced technological tools below that you have made use of:

( ) Learning Objects on the Internet
( ) Audio (wav, mp3, other)
( ) Impatica for PowerPoint
( ) Photoshop, Paint Shop Pro, etc.
( ) External Testing Site (such as Hot Potatoes)
( ) Other Web 2.0 Tools (Second Life, Wiki, etc) / ( ) Streaming media (Real, Windows, QuickTime)
( ) CD/DVD Creation
( ) Adobe Connect/Presenter
( ) Captivate
( ) Subject specific software:
( ) Other Course Management System (publisher provided)
( ) Other

F. Signatures

Instructor / Date
Division Chairperson / Date
Division DCeL / Date
Date Received
Date Forwarded to Division Chairperson
Date of Action
Original Course Developer
Notes