Blackboard Course Request Form

Please fill out the form completely to request your course(s) to be placed on Blackboard for the selected semester. All requests MUST be on this form, properly completed and received prior to the Tuesday following the ADD/DROP period of each semester. NO EXCEPTIONS!

*All fields are required for form submittal.

Date Submitted:

Instructor Information

Name:

Blackboard Username:

School:

Department:

Phone:

University E-mail:

Course Information

Semester for Request: Fall 2011 Summer 2011 Spring 2012 Summer 2012

Please type in course(s) for the above requested semester!

Course Name	Course Number	Course Section	Create New or Copy From previous course. (Please list course.)
(Example) Blackboard	BBT-101	01	Copy from BBT-101-01-S06

Comments or Special Request:

Please review the list of Blackboard Training dates and times available for the current semester. If you have any questions please email the Blackboard Administrator, Shawn Briggs (shawn.briggs@hamptonu.edu). Please do not send course requests to this address, only course requests submitted using this form will be accepted.