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Welcome to the Moodle course request form! This survey, powered by Qualtrics, will guide you through a series of questions about the Moodle course you want to create.
If you have not logged onto our Moodle system before,
please do so before filling out this survey
Logging in with your Net ID and password will automatically create your account in our Moodle system, which will allow us to enroll you as an instructor for your course. This will ensure that there are no delays in filling your request.
If you enter any information incorrectly at any time, please close your web browser and start a new form; this will delete your responses.
Please contact us at
if you have any questions or difficulties.
First, please provide the following information about yourself:
Your first initial and last name (J. Smith):
Your Net ID (if your CyMail were
@iastate.edu, then you would put “jsmith” here):
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