EmailMeForm
Online Course Development Inquiry
If you're interested in creating an online course, please answer these initial questions to help us determine your needs and how to proceed.
Name
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First
Last
Credentials
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Email
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Phone
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Company Name
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What is the delivery method you need? (Note this form is only for online course development. If you need another delivery method, stop here!)
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Online course development
Virtual webinar
In-person event
Will you or someone on your staff be serving as the content expert for this material? Have you retained other people to serve as faculty?
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Yes
No
Please briefly describe the course or series you would like to develop.
Is this course(s) or series being funded by a grant? Please describe.
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Please check your interests:
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Instructional design
Graphic design
Videography
Professional narration
Interactive elements
Quizzes or assessments to test knowledge
Post-test
Accreditation from Piedmont AHEC
Is this training mandatory?
Who is your target audience for this course?
Will you be requesting accreditation services from Piedmont AHEC? Please specify what type of credit you wish to provide.
Note that we can only provide accreditation to courses hosted on our LMS.
A coordinator with Piedmont AHEC must be involved in the planning to provide CNE and CME credit.
Would you need hosting services on our Learning Management System?
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Yes
No
Will this be a fee or free-based course?
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We offer registration management, based on whether the course has a fee or is free.
Has the course content already been developed?
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Please check what has already been completed.
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Content is fully developed in a Powerpoint presentation or Word
PPT includes notes
Content for interactivities
Video content is complete
Content for final post quiz
When is your desired deadline for these course(s) to go online?
MM
/
YYYY
Do you have any supporting materials you would like us to review?
Thank you for your interest.
