Module Author Information

The information submitted on this page will be used to produce Module Developer Contracts.

Name of Module

Lead Co-AuthorsThe following are people that have agreed to be responsible for finishing the module. Other contributors can be listed directly on your module webpage. Please review the Materials Development Expectations.

Author 1
First Name:

Last Name

Email Address

Institution

Co-author 2 (optional)
First Name

Last Name:

Email Address:

Institution:

Co-author 3 (optional)
First Name:

Last Name

Email Address:

Institution

Course Piloting Information
Who will teach the module?

Institution

Name of Course

Course number

What dates will this module be taught?

When will the module be ready for mentor review? (Note: this will need to be at least two weeks before the date of piloting).

Other information about piloting

Name Email