DL and Technology Faculty Mentor Matching Request

1. I would like to work with a mentor during the following term:

   Fall Term 2005 Spring Term 2006 Summer Term 2006 Fall Term 2006 Spring Term 2007 Summer Term 2007 Fall Term 2007
   
   

2. Please provide the following contact information:

   First Name
   Last Name
   Phone
   E-mail

3. What is your academic department at the college?

   
   
   

4. At which campus location do you normally teach?

   Sanford/Lake Mary Oviedo Hunt Club
   
   

5. Which of the following course types are you planning to develop this term? Select any that apply.

   Online Courses
   Online/Campus Courses
   Video Courses
   Video/Web Courses
   Video/Campus Courses
   WebCT-Enhanced Campus Courses
   
   

6. Do you plan to use publisher developed content (or epacks) for WebCT as part of your course?

   Yes
   No
   Undecided
    

7. Please briefly describe the type of assistance you would like to have, including any specific tools or technologies that you are interested in using more effectively (i.e. WebCT, PowerPoint, FrontPage, etc.).

   
   
   

8. Do you have any mentor matching preferences (i.e. male/female, academic discipline, area of the college, campus location, etc.)?

   
   
   

9. Please list the goals that you would like to accomplish with the assistance of a mentor this term.

   
   

*Note:  If you have any trouble submitting this web form, please email hodgesw@scc-fl.edu with the above information.