Wiki Request Form

1. Instructor Information
First Name:
Last Name:
E-mail Address * Confirmation will go to this e-mail address. :
Department/Program:

Telephone Number
Extension
Position
Please specify if "Other" is chosen:
What is your MAC ID username?
*See: http://www.mcmaster.ca/uts/macid/ 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:
I have read and understood the Terms of Material Usage and CLL Copyright Policy. I agree that the McMaster Senate Policies for all members, the McMaster Code of Conduct for Computer and Network Users apply to my use of Wiki.

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