Centra Course Request Form

Centra Class Request Form - If you are an instructor and you would like to request to use Centra with your class, please fill out the form below. Please allow 2 business days for the creation of events for classes that have not met in Centra before and 24 hours for repeat meetings of classes that have met in Centra before. You should receive a confirmation message stating that your event (or just the first one if this request is for a recurring event) has been scheduled. Once your event has been created, please check your "My Schedule" page to verify that your event was setup correctly. If you have any questions about this form, please contact Sharon Collins (252-328-9126) or John Southworth (252-328-9089).

Contact Information:

Name
Phone
E-mail

What would you like the Title of your event to be?

(60 characters or less. Please do not use special characters such as : or #)  

What course will you be using Centra for?

Course Name and Number: (Ex. ANTH 1050)   Section(s): (Ex. 601)

Please select the semester.        

When will your event take place?

Date: (Ex. 01-01-07)     Time: (Ex.8:00 PM)

Duration: :   hours  -OR- Ongoing: Yes No

Enter anyone else that you would like to be set up as a presenter/co-presenter for the event?

          1. Name:   E-mail:

          2. Name:   E-mail:

Would you like to meet with a Centra Administrator for training prior to your event? (Note: it may be a couple weeks before a Centra Administrator is available to meet with you)

Yes No

Would you like a Centra Administrator to attend your event?

Yes No

Please include any special instructions for your event below (eg. if you would like to have a recurring event at the same time each week):

 

East Carolina University Academic Outreach
Academic Outreach
301 S. Evans St.
Greenville, NC  27858
Email: Sharon Collins or John Southworth
Copyright © 2006 [East Carolina University]. All rights reserved.