Blackboard
New Building Block Request Form

Please use the form below to submit a request for a new Blackboard Learn Building Block.

Please contact blackboard@uh.edu with questions or concerns.

Please enter "NA" for any field where the information requested does not apply to the Building Block you are requesting.

(*) marks a required field.

Request date: * (mm/dd/yyyy)
Building Block Name: *
Building Block URL: *
Building Block Format:
Requester's Name: *
Requester's Cougarnet ID: *
Bequester's Campus: *
Requester's Department: *
Requester's Phone Number: *
Requester's Email: *
Name of UH Business Owner:
UH Business Owner Phone:
UH Business Owner Email:
Purpose of the Building Block: *
Benefits of the Building Block: *
When do you want to start using the Building Block?: *
End Users of the Building Block:
Intended Institutional access: *
If You Selected Other, How Is Institutional Access Limited?:
Who will support the tool for Instructors?:
Who will support the tool for Students?:
Online Documentation URL for the Building Block:
Support Web Page for the Building Block:
Support Hours for the Building Block:

Blackboard