eCampus Course Request Form


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   Course format:
   I am being compensated for the development of this course.
   I have previously been compensated for the development of this course.

                                                
                                                  

First Name:*                       Last Name:*  
Course Start Date:*           End Date:*  

Course Subject:*        
(ex: ENGL)                            

      Number:*
     (ex: 101) 		 
Course Title:*              
 (ex: Composition 1)                 		      CRN:*
     (ex: 0000) 		 
Content Location:*             E-Pack:*  
Textbook Edition:*              Text ISBN:*  
Textbook Title:*            

    Will any of the content in this course be from a source other than your own course materials (ePack, publisher, etc.)?       

Please list any additional information here:                                                  *Denotes required information.
 

 
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Faculty eCampus phone assistance: (304) 424-8358 or email: Theresa.Cross@mail.wvu.edu

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