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Request for Course Use
This form is for Faculty and Staff to request course use of the Maker Lab. Please complete the form as best as possible.
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* Indicates required question
Your Name
*
Your answer
Your e-mail
*
Your answer
Course Title
*
Your answer
Course Level
Undergraduate
Graduate
Quarter course will be offered
*
e.g. Spring 2015
Your answer
When does the class meet?
e.g. Monday(9:15-10:20)
Your answer
Total Number of Students
*
Approximate range
Your answer
Number of Course Sections
Choose
1
2
3
4
5
Number of Students per Section
Approximate range
Your answer
Number of TAs
Your answer
TA(s) Name and e-mail
Your answer
Anticipated equipment use
Basic Tools
3D Printer
Laser Cutter
Other:
Anticipated lab use
Single small project
Multiple small projects
Major project
Other:
What week in the quarter would you like the students to be trained?
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
What week(s) in the quarter would you like students to use the Maker Lab?
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Finals Week
Other comments or questions
Your answer
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