NU on iTunes U

iPod Request Form

Your First Name:
Your Last Name:

Your Status at Northeastern:
Faculty
Staff
Your College/Department at Northeastern:

Do you have specific goals for what you would like to accomplish? (Check all that apply)
Solve a specific pedagogical problem
Record a live lecture
Create a learning supplement
Other: (Please describe below)

Have you seen/heard an example you would like to follow? (Please describe):

How do you envision your students/audience using the podcast you develop? (Please describe):

What sort of support will you need? (Check all that apply)
Assistance with learning to use iPod.
Assistance with designing instruction.
Assistance editing audio

How long will you use the iPod:
One to three class periods
Two weeks
Three weeks
Other:

Where do you want to post your podcasts?
Blackboard
iTunesU

Course Name and Key Number:

Comments:

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