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Koha with Class Application

Please fill out this application to enroll your classroom in Koha with Class. If you have more than one class, fill out one application per class.

Name of the Institution (Required)

e.g., Texas Women's University

Name of the program or department (Required)

e.g., School of Informatics

Class being taught (Required)

Course number and title

Your Name (Required)

Your E-Mail Address (Required)

Number of Participating Students (Required)

Approximate number of students in the class that will be using the system

Start Date (Required)

Date that the course starts

/ /

End Date (Required)

/ /

Activation Date (Required)

Desired activation date for the Koha system(s)

/ /

Number of Koha Installations (Required)

Desired Number of Koha Installations (max 5).

How did you hear about this program?

Comments

Koha with Class