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* 1. Full name

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* 2. Contact email

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* 3. SFU Department and/or Faculty

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* 4. Which course will you be designing/redesigning as part of this cohort program (course name/code)?

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* 5. Is this a new or existing course?

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* 6. Has this course been offered online before? If so, when?

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* 7. Planned offering term 

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* 8. Course description

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* 9. What is the estimated enrolment size of the course?

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* 10. What is your level of experience with online course design and facilitation? Are there particular areas where you already feel quite confident or where you would like additional support (this will help us to tailor the course)?

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* 11. What is your motivation for taking this course and what are you hoping to gain from the experience?

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* 12. Any other comments or questions about the cohort program?

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