Please complete a separate form for each semester.
Faculty Member requests to teach the following course(s):
For new courses or instructors, the items listed below must be electronically attached, when applicable.
For existing courses or current instructors, the items listed below must be electronically attached, when applicable.
For all Instructors: If there are course and/or program fees, an itemized budget, student payment schedule, and refund schedule must be attached.
PLEASE NOTE: All graduate student appointments must first be approved by the Graduate College. It is the responsibility of the academic department to ensure that graduate students assisting with extension courses have an active assignment.
Please type your initials below the following statements: