TTUNET ITV End-site Certification Request Form

Deadlines for Submitting End-site Certification Requests:

Per the Distance Learning Executive Committee, the following deadlines apply to ITV End-site Certification Requests.  Please select an available term for this request:

  Semester Requests Due By
Fall March 15th (Closed, Deadline has past)
Spring September 15th
Summer I & II January 15th (Closed, Deadline has past)

To have an end-site certified for distance education classes, please complete and submit the form below.  It will be delivered to the Office of the Provost for consideration.  Someone from the Office of the Provost will contact you once a determination has been made.

All fields are required.

Requestor

Name  
Phone Number  
E-mail Address  

 

   

End-site Organization  Name

School, ISD, Company    
     

End-site Address

Number and Street  
City  
 State  
Zip  
Building Name  
Room Number  
     

End-site Technical Contact Information

Name  
Phone Number  
E-mail Address  
     

Requested for Class

Class Number 

 
Complete Class Name  
Class Section Code(s)  

Class Times

Monday  to 
Tuesday  to 
Wednesday  to 
Thursday  to 
Friday  to 
Saturday  to