Wiki Request Form

1. Instructor Information
First Name:
Last Name:
E-mail Address
* Confirmation will go to this e-mail address. :
Telephone Number
Please specify if "Other" is chosen:
What is your MAC ID username?
*See: for more information
2. Course Information
Course Subject ID:
Please specify if "Other" is chosen:
Course Code:
e.g. 1A03
Course Title:
Please limit to 25 characters
Course will be offered:
  of the year
The anticipated student enrollment :
3. Other
Special instructions, comments or questions (optional):

Please allow 2-5 business days for us to confirm this request.

Terms of Usage

By submitting this course request form, you are agreeing to the following: