E-Portfolio Interest

E–Portfolio Interest Form Please submit the necessary information, and an IT–CS&S staff member will be in touch to arrange a meeting. Symbol Key: Required Information, Error
Date:		(use format mm/dd/yyyy)
Primary Contact Information
Name:
E–mail:		(use format xxx@xxx.xxx)
Phone:		(use format xxx–xxx–xxxx)
Campus Address:
Department:

Program or Course Information
Title:
Description:
Number of learners:
Number of educators and mentors (faculty, staff or peers):

Are you currently using portfolios in your courses/program?		Yes No
If you are, explain how they are being used:.
If you are not, explain how you envision portfolios being used in your program or course:

In what type of e–portfolio are you interested?		Check all that apply: Assessment and Accreditation Personal Representation Teaching and Learning
What activities do your learners already engage in that you believe would fit well with portfolio learning?

Do you have a particular technology you would like to use for e-portfolios? (e.g. Sakai OSP, other)		Yes No
If yes, specify:

What resources (staff, time, money,etc.) are you willing to commit to integrating e–portfolios into your course or program?
When do you plan to start developing your e–portfolio?
When do you want to start using this e–portfolio?
How did you hear about e–portfolios at UD?
Have you attended an E–Portfolios@UD information session?		Yes No

Other comments or information you would like to add:

Thank you for your interest.