Moodle Shell Request

Contact Information
Instructor's Name *
Instructor's Telephone * XXX-XXX-XXXX
Instructor's Email * (Gavilan email address)

Course Information
Department *
Course Number AND Name * (as appears in Schedule of Classes, ie: CSIS 101: Intro to Computers)
Section Number *
Units *

Moodle Information
Is this a new course shell or an existing course shell in Moodle? *	New Existing
If it is an existing course shell, indicate which semester to copy it from:
Course Type *
Semester Course Offered *
Comments or Notes: