Kellogg Community College
February, 2009
This form is to be used in
preparation for the development of a hybrid course. The department chair or director should
complete this form and secure the necessary signatures. The steps for submitting an application and
securing approval for developing hybrid course are listed in a separate
document (Hybrid Course Development Process).
Course
Description and Department Statement
(to be completed by the department chair
or director)
Name
of instructor(s) developing the course:
Name
of department chair or director:
Course
acronym – number and title:
(e.g. ANTH 200, Introduction to Anthropology)
Semester in which the course is
projected to be first offered:
1.
Why do you
propose that this course be offered as a hybrid? Discuss benefits to students,
department, and the college.
2.
What is the
development team’s experience with online teaching and learning?
3.
Based on your
distance learning strategy, how important is the offering of this course as a
hybrid?
4.
Provide the
author(s), title, edition, ISBN, and publisher of the textbook to be used.
5.
Does the textbook
publisher offer a Blackboard cartridge for the course?
Choose an item.
6.
Describe any
portion of the course already online and provide the URL(s).
7.
Is this course to
be offered fully online in addition to being offered as a hybrid course?
Choose an item.
8.
Will students in
the hybrid course accomplish the same outcomes as those in the course delivered
in the traditional and/or fully online sections?
Choose an item.
9.
How does this
course fit the online curricular strategy of the department?
Course in a planned online degree or
certificate
Course in a planned online sequence of course
10. What is the audience for this course?
General, course included in the curricula of
many programs
Primarily career or occupational
11. How many students enrolled in this course in the last
academic year?
12. How many sections of this course ran in the last
academic year?
13. Provide the estimated number of contact hours that
will be delivered online and the estimated number of contact hours delivered in
the classroom: online, classroom
14. Explain how the course will be listed in the schedule
(for example, days of the week, etc.)
15. Will the department be able to use the freed classroom
time in scheduling other courses?
Learning
Technologies Statement
(to be completed by the Director of
Learning Technologies)
16. Semester in which the course faculty will attend the
required Instructional Design
course:
Choose
an item.
17. Semester in which the course faculty will attend the Online Teaching and Learning course:
Choose
an item.
Comment
18. Semester in which the course faculty will attend the
required Introduction to Blackboard
course:
Choose an item.
19. Semester in which the course will be developed:
Choose an item.
SIGNATURES
Instructors Developing
the Course Date
Instructors Developing
the Course Date
Learning Tech Director
Signature Date
Chair/Director
signature Date
Dean Signature Date
OCDC Chair signature
Date
Academic Cabinet
signature Date