Blend@UW Application

Please complete the below application by Friday May 5, 2017 if you would like to participate in one of the upcoming Blend@UW Course Design Program sessions.

Summer 2017 Sessions:

  • Monday, May 15 – Friday, May 19, 2017
    8:30 am – 12:00 pm
    122 Ingraham Hall
  • Monday, June 5 – Friday, June 9, 2017
    8:30 am – 12:00 pm
    122 Ingraham Hall
  • Monday, August 21 – Friday, August 25, 2017
    8:30 am – 12:00 pm
    122 Ingraham Hall
Application form for Blend@UW Course Design Program
  • NOTE: This course if offered at no cost to you. It is sponsored by DoIT Academic Technology and Educational Innovation.

  • Please select the session you want to attend. Location: 122 Ingraham Hall COST: This course if offered at no cost to you. It is sponsored by DoIT Academic Technology and Educational Innovation initiatives
  • 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 no longer 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. Please confirm that you are aware of this change.