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Moodle Request Form

Personal Information

Your Name

Email   Extension
 

Reed Status:
Student Faculty Staff


Course Information

If this is for a Reed course:
Course Title

Department   Number   Section
   

If this is for a collaboration:
Desired Name

A brief description of the course or collaboration (optional):

Format:

Topic: organized by topic; not restricted to any time limit.
Weekly: organized week by week with a clear start and finish date.

Number of topics/weeks:

If weekly format:
Start Date   End Date
 

Special Instructions: