FLOC Workshop Enrollment Request Form

Complete this request to be enrolled in the Facilitating Learning Online Certification Workshop.

Per UNG's Faculty Handbook. 8.4.1
All faculty teaching fully online courses will be certified through the Distance Education & Technology Integration (DETI) certification process, which includes a self-paced course.

All UNG Online Faculty are required to complete the certification before teaching online.

Name Name * First Last
UNG Email *
Department *
Department Head *


	Spring	Summer	Fall
Semester, you are teaching	Semester, you are teachingSpring	Semester, you are teachingSummer	Semester, you are teachingFall

Course Title
Course CRN
Is this the first time this has been taught online? Has this course been been taught Face-to-Face?


	Yes	No
I have taught online before.	I have taught online before.Yes	I have taught online before.No

Describe your online experience and with which Learning Management System (LMS).
Additional information or comments you would like to add to this request
Thank you for completing the FLOC ENROLLMENT FORM.

You will receive a follow-up email with additional information on how to get started.

FLOC Workshop Enrollment Request Form

FLOC Workshop Enrollment Request Form

Thank you for completing the FLOC ENROLLMENT FORM.