Self-Directed Course Request Form

Please fill in the following information:

First Name (ex. Sammy)

Last Name (ex. Spartan)

Department (ex. Economics)

Email (ex. S.Spartan9@sjsu.edu)

Phone Number (ex. 123-456-7890)

Campus Role (Self-Directed Courses are only available for faculty and staff.)

There are five Self-Directed Courses. Which course would you like to access? Select all that apply.