This form is for FOR INSTRUCTORS ONLY.

NOTE TO STUDENTS: If you need to access your Moodle course, please refer to Frequently Asked Questions or contact the Client Services at ithelp@yorku.ca. If you fill out this form you WILL NOT receive a response.

Moodle New Course Request

If you have any questions regarding this form or would like to request a Moodle course for a non-credit academic course, please send an email to lts@yorku.ca

Note: Items marked with * are required fields.

I. Instructor Information

*Name:

*Passport York ID (e.g. davidg):

*Email (e.g. davidg@yorku.ca): (YorkU email preferred)

Preferred Email:
(if different)

Phone:

II. Course Information

*Course Faculty:

*Course Code: (e.g., EN1100, PSYC1010)

*Course Title:

Should this course be a merge of multiple sections? Yes No

*Course Section(s) (Separate multiple sections by a comma with no space)

Language: If other, specify language:

*Term:

Should this course be based off an existing, or previous course? Moodle WebCT None

Do you wish to inherit the group and grouping names from the previous Moodle course? Yes No

Existing/Previous Course Info:
(By choosing this option you are stating that you are authorized to use the content contained in the course)

First day of class:

Additional Information: