Educational Media - Instructional Technology Programs Interest Form

Please complete the following form and click on the "submit" button below. The information you provide will be sent to the Program Directors and to the Office of Distance Education/Extension Manager. (This office will assist you with your application process.)

Mailing Address
Where you want us to send you the program materials and application forms.

Please tell us about your interest in the program, your current occupation, undergraduate degree, etc.