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Participant Application

Faculty Developer/Instructor Information Fields marked with * are required.
First Name *	Last Name *	Phone *
Email *	Dean's Name *
When would you be ready to have your course reviewed? *
Have you completed Digital Professor Certification? * Yes No Required
Have you completed Quality Matters Peer Reviewer training (Faculty Development course ASMT3232)? * Yes No Required
Upon successful Quality Matters Peer Review of the course, I would like the course to be included in the Exemplar Online Course Program. * Yes No Required
As part of the Exemplar Online Course Program, I agree to regularly update the course template with Faculty Development/Learning Technology and Alternative Delivery. * Yes No Required
My Dean/Director supports my participation in this program. * Yes No Required

Course Information Fields marked with * are required.
Course Name *	Course Prefix and Number *	Course format * Online Hybrid Required
Did you develop the course? * Yes No Required Who developed the course?	Please specify the terms you have taught the course in an online/hybrid format Term 1 * Term 2
Textbook used
Description of other course materials used, including video content, software, etc.
The course was designed according to current and approved College Course Outcomes. * Yes No Required
The course has been designed/modified according to the standards specified in the current Quality Matters rubric. * Yes No Required
The course level outcomes and the unit/module learning outcomes are specified in the course and available for the review team to view. * Yes No Required

As the Faculty developer/instructor I agree to do the following: Fields marked with * are required.

Provide access to the course and its associated materials to selected peer reviewers. (Course will be copied to a development space and will not be active with enrolled students at the time of the review.)
Complete the Instructor Worksheet located on the QM website to provide information to the review team essential to the review.
Participate in the pre-review discussion to discuss the instructor worksheet, ensure all members have access to the course, and answer any questions from team members before the review begins.
Communicate with the review team as needed regarding the course in review.
At the time of the final report, discuss/communicate with the Quality Matters Coordinator regarding whether or not you choose to proceed with course revisions, re-review of the course and to discuss the optional support resources desired.
For re-review: Complete the Course Amendment Form on the QM website to provide information to the team chair about the revisions made and communicate with the team chair as needed regarding the course in review. All re-reviews must be completed within 6 months of the original review date.

I agree with all of the above. *

What questions do you have about the QM Peer Review Process?

How did you hear about this opportunity? (Check all that apply)
Valencia Website Flier/Poster Colleague Dean Department Meeting Email Other

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Valencia College provides equal opportunity for educational opportunities and employment to all. Contact the Office of Human Resources and Diversity for information.