Required Information for Non-Academic UH-Sponsored Courses

Please complete this form to help us evaluate the best approach to accomplish your goals.

Note for Blackboard Learn courses: If students are not affiliated with UH, you will be responsible for getting Persons of Interest (POI) sponsored accounts for them.

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

(* ) marks a required field.

Name: *

PeopleSoft ID: *

Department Offering the Course: *

UH Email Address: *

Phone Number: *

Purpose/Description of the Course: *

Proposed Course Name: *

Proposed Course Number: *

Course Start Date: * (mm/dd/yyyy)

Course End Date: * (mm/dd/yyyy)

Approximate Number of Students: *

At the end of the course, will students receive a professional certification?: *

Yes

Will students be required to pay additional fees for enrollment into this special Course?: *

Yes

If so, to whom are student payments to be made?:

Who are the Instructors? Provide PeopleSoft IDs, if known: *

Will this course be offered again?: *

Yes

Description of the Students: *

How often will students be added/loaded to the Course?: *

Do you have any other pertinent information to add about the course?:

Non-Academic Online Course Request