Canvas Spring 2017 Pilot Instructor Application
Thank you for your interest in the Canvas Spring 2017 pilot.

- UMN's Canvas pilot ends May 31, 2017 and Canvas may not be available after this date
- The decision of whether Canvas would be adopted has not been made.  It will be made by May 1, 2017
- The University Learning Technology Advisors (ULTA) will be making a recommendation for the university.  More information can be found at: ulta.umn.edu
- ATSS will coordinate support with Collegiate and Campus units during the Canvas Spring 2017 pilot. Questions and concerns should be addressed to atss@umn.edu

Deadlines:
December 16, 2016 is the deadline to apply for the Spring 2017 pilot.
Applicants will be notified by December 22, 2016 about their application to the pilot.



Please complete the following information:
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First name: *
Last name *
Email Address *
Phone Number *
My role is: *
Required
Department name: *
Please spell out names instead of using abbreviations or acronyms
Campus location: *
Course Number and Title *
If multiple, please separate with commas
Approximate Enrollment for the Course *
Must be a number.  If multiple courses, please enter the total enrollment of all courses.
Peoplesoft Course number (5-digit)
If multiple, please separate with commas
What term best describes the course you would want to use with Canvas? *
Does the course already exist in Moodle? *
Which best fits your situation? *
If you do have a Moodle site for this course, may we look at that site? *
What is the URL to that Moodle course?
Do you have non-UMN students in this class? *
Is there anything else about your course that you would like us to know? *
Please tell us why you would like to be part of the Canvas Pilot. *
Have you previously participated in the Canvas pilot? *
Can you commit to being available 2 weeks prior to the start of your campus's fall semester? *
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