Distance Learning Forms Inventory
Student Forms
Distance Testing Request & Transmittal Form
Part I of this form should be completed by DL students to request testing services outside the Austin area. Instructor pre-approval is required. Refer to the Distance Testing procedure for details about program requirements before completing this form.
Note: Local DL students use the Academic Testing Centers on campus to fulfill testing requirements, and should not complete this form.
Passport Form
Students use this form to note important DL course information and ACC support resources while navigating the Passport to Success Workshop.
Passport to Success Evaluation Form
Students are encouraged to provide feedback after completing the Passport to Success Workshop.
VCT Host Request Form
The Virtual College of Texas (VCT) is a consortium of Texas public two-year colleges that facilitates the sharing of distance education courses among institutions. ACC students may complete this form to request having a course from another Texas college hosted at ACC. ACC academic departmental approval is required in order for DL to host VCT courses. Refer to the VCT Information for ACC Students for details about the VCT program before completing this form.
↑ Top
Faculty Forms
DL Support Services
Distance Testing Request & Transmittal Form
DL instructors complete Part II of this form and forward it to the DL Office with the exams for students participating in the Distance Testing program.
Early Intervention Request Form
The Early Intervention Program focuses on DL students who may need additional support in a non-traditional learning environment, and assists faculty in keeping those students in their DL courses as active participants. Instructors should use this form to contact DL for assistance in reaching students who have missed orientations, fallen behind in coursework, neglected to submit assignments or exams, or if we can provide student services referral information to you or your students.
ITV Streaming Media Request Form
Most of ACC's ITV programs are now available as streaming videos that students watch online. DL instructors must complete this form to request access to the streamed telecourse files. Refer to the ITV Streaming Media Request Procedure for complete details.
Note: Due to licensing restrictions, streamed ITV telecourse materials must be delivered via Blackboard.
Student Information Sheet
Instructors may use this form to gather contact information from students during the DL Course Orientation.
VCT Testing Transmittal Form
DL instructors should complete this form and submit it to the DL Office with the exams for VCT students participating in their classes through the VCT program at ACC. Refer to the VCT Information for Faculty for complete details about the program.
DL Course Development & Scheduling
DL Course Approval Form
Refer to DL Course Approval for additional information.
Request for Adding a Section of a DL Course to the Schedule Form
Refer to Scheduling a DL Course Section for additional information.
Conversion of Posted On-Campus Office Hours to Electronic Office Hours
Refer to Office Hours for additional information.
Copyright Ownership Agreement Forms
Refer to the Copyright & Fair Use website for additional information.
Video Support Services
ACC College-Wide Event Support
Request Form
Video Support Services assists college-wide activities on campuses as well as at the Highland Business Center. See College-Wide Event Support for information.
Cable TV Video Bulletin Board Submission Form
The Video Bulletin Board disseminates college-wide information, announcements, and ACC job postings to the community via ACC Channel 19 during gaps in scheduled programming. To have an information displayed on ACC Channel 19 via the Video Bulletin Board, please complete the online submission form. See College Announcements and Job Postings for additional details.
Conference Room External Reservation Form
The ACC Highland Business Center Interactive Video Classroom offers excellent conferencing facilities for external organizations. See External Organization IVC Reservation & Rental Information for details on reserving the conference room, including fees.
↑ Top
DL Staff Forms
Requisition Request Form
↑ Top
Download Adobe Reader to view and print PDF files.
