Salutation Mr. Mrs. Ms. Dr. Prof.

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Job Title

Which most closely describes your role within your organization? Administrator (e.g. President, Provost, Chief Diversity Officer) Faculty Leader (e.g. Dean, Dept. Chair, Director of Center for Teaching/Learning) Faculty Member Other

In which course would you like to enroll? Creating an Inclusive and Supportive Learning Environment Creating an Inclusive and Supportive Online Learning Environment Promoting Active Learning Promoting Active Learning Online Inspiring Inquiry and Preparing Lifelong Learners Inspiring Inquiry and Lifelong Learning in Your Online Course Designing Learner-Centered and Equitable Courses Fostering a Culture of Belonging

Which date would you like to begin? October 19, 2024 January 25, 2025 March 29, 2025 May 31, 2025

Which date would you like to begin? February 1 April 5 June 7

Which date would you like to begin? August 10 October 19 January 25

Will you be teaching at the time of the course? YesNo

How will you be paying your enrollment fee? My institution will pay for my enrollment.I will use personal funds.

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