Consultation/Materials Review
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First Name *
Last name *
uNID *
(u#######)
Email *
What department you are affiliated with? *
Status *
Choose two possible dates for the consultation:  
*Please note that all consultations will take place at CTLE
Consultation Date option 1 *
MM
/
DD
/
YYYY
Consultation Date option 2 *
MM
/
DD
/
YYYY
Consultation Time *
Time
:
Please tell us what services you would like *
e.g. review of syllabus, rubric, and/or course; or information on active learning, inclusive teaching, etc.
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