Blend@UW Application

Applications are currently being accepted for the Blend@UW Course Design Program sessions in winter and summer 2019. Please complete the form below.

Application form for Blend@UW Course Design Program
  • Please select the session you want to attend. COST: This course if offered at no cost to you. It is sponsored by DoIT Academic Technology and co-sponsored by College of Letters and Science Learning Support Services.
  • Please enter your official UW-Madison email address.
  • Affiliation

  • Please note that Teaching Assistants are not eligible to take Blend@UW.
  • Department
  • Course Information

  • What is the course name and number being designed? (ex. LIS 668 Introduction to Cataloguing)
  • When will the course be offered with the new blended course design in place?
  • Statements & Understandings

  • I give permission to share the information in my application with others for the purpose of acceptance into this program.
  • This program will provide participants with a course map and an implementation plan. While the course may introduce technologies appropriate for use in development in a blended course, I understand that the program will not provide training on specific technologies.
  • Please be aware that Blend@UW does not provide stipends for participation in the program. In place of stipends, participants who successfully complete the course and other requirements may be eligible to receive development support by DoIT Academic Technology Online Course Production staff for their course.