For questions about filling out this form, please contact
Phone: 972.660.6426 Email: fast@dcccd.edu

Faculty Information

** Responses are required for all Fields.

Name:   

College/Campus:  

Department:  

Building and Room Number:  

Phone: (include area code)  

Email:  

Campus Distance Learning Coordinator:  

Dean:  

If you will be working with other faculty on this project, what are their names?
 

Blackboard Experience:

New user
Medium - can place content & create tests
Completed Blackboard training (101, 102, or 103)

Quality Matters Training

None
Familiar with Concepts
Peer Reviewer Training Completed

Course Information:

Course Name:     Course Number:  

Type of Course

Online   Hybrid or Blended

Date course will be offered:  

Type of support needed  

Dates/Times available to meet: (Please provide 2-3 available dates and times.)
 

Technology available to you

Internet access available?  |  Data projector available?

Briefly describe the assistance you need. Please feel free to include any information you think would be helpful as well as any additional comments or questions.

Please note projects for the FAST Team assistance have a production time limit of one week total time. Time is estimated by the FAST Team.