Request for Space on web-classrooms.egis.edu

Request Space for Web Classrooms Hybrid Course

Your Full Name:
Your E-mail Address:
Your Full Phone Number:
College:
School:
Term
Course Start Date:
Last day of Course:
Course Id:		As Listed by Registrar
Section Number:
Course Name:
New or previously posted:
Grant Student Access on Start Date:

	Comments:

	Please Note the following:
1.	Instructors and students participating in any course must have a Regisnet ID
2.	If there is to be more than one instructor/designer Please provide any additional instructors/designer's information in the comments section.
	For any questions or comments please contact the ITS Helpdesk at its@regis.edu or at 303-458-4050.