Central Carolina Community College (CCCC)

Blackboard Training Request

This form is to be used by current employees of Central Carolina Community College. Completing this form will allow you to request access to the Blackboard Training courses for either yourself or another CCCC employee.

Please contact the Distance Education staff at destaff@cccc.edu or (919) 718-7529 if you need assistance in completing this form.

• First Name *
• Last Name *
• Email Address *
• Employee ID Number *
• Employment Status *

  Full-Time FacultyAdjunct FacultyFull-Time StaffPart-Time Staff
• Department *
• Department Chair or Direct Supervisor *
• Dean *
• Training Needed (mark all that apply)

  Blackboard Level IBlackboard Level IIUnsure
• Due Date (Unless told otherwise, Level I and II are required prior to teaching distance courses.) *
• Submit