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SFU's Centre for Educational Excellence makes the SurveyMonkey service available to you for your convenience. Your use of SurveyMonkey at Simon Fraser University is voluntary.

Please be advised that the personal information you disclose to SurveyMonkey may be stored on servers located in the USA. If you choose to use this service, your personal information will be used to track event registration and send you event reminders. Canadian privacy laws do not apply to personal information you provide directly to SurveyMonkey. You may wish to review the SurveyMonkey privacy policy before using the service.

The university has general authority to collect personal information under the University Act (RSBC 1996, c. 468). By choosing to use this service you consent to the collection of your personal information in this manner and for the purposes described above and to its storage outside Canada.

If you have any questions about the collection, use or disclosure of your personal information, or would like to submit this information via an alternate method, please contact SFU's Centre for Educational Excellence at ceeevent@sfu.ca.

Please complete the course design expression of interest as accurately as possible. The purpose of the information collected in this survey is to help the Centre for Educational Excellence understand how to best meet your course design needs, whether for the Blended Learning cohort or otherwise.

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* 1. Name of course and course code

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* 2. Name of instructor and academic unit

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* 3. Contact email

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* 4. When would you like to offer this course? (Fall/Spring/Summer semester + year)

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* 5. Is this a new or existing course?

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* 6. Course Description

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* 7. How much of the course materials are existing?

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* 8. Will you have TA support?

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

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* 10. How will this course be delivered?

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* 11. What instructional media do you want to include or learn more about?

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* 12. Some typical goals for engaging in this process are to add innovation to a course, try a new pedagogical approach, or to test new instructional methods, etc. What are the goals of the course development?

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* 13. Aside from course goals, another important aspect is personal goals (e.g., to learn or up-skill in a particular area). What are your professional development goals in this course build?

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* 14. Are you interested in scholarly inquiry (e.g., Scholarship of Teaching and Learning)?

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