RSVP BTtoP Spring 2019 Form
Bringing Theory to Practice (BTtoP) Workshops are designed to share best practices in teaching pedagogy and strategies for implementation with faculty and instructors at UCLA.

Date: Thursday, May 16th, 2019
Time: 1:00 p.m. - 3:00 p.m.
Location: 164 Hershey Hall
Topic: Designing and Implementing Questions for Peer Instruction (e.g. clickers and other classroom response systems)

Visit event website for more information on what each workshop covers: https://ceils.ucla.edu/bringing-theory-to-practice-bttop-workshops/

Thank you for taking the time to complete this form. This information helps CEILS track our impact and continuously improve our programming.
Email address *
PARTICIPANT INFORMATION
Find your name, by typing the first few letters of your last name. (If you can't find your name, skip this and enter your name in the next question.)
If you did NOT find your name, please answer the next set of 6 questions; otherwise skip to "Event Details".
We will update our database periodically with this information.
If you didn't find your name in the list above, please enter it here as "Last Name, First Name".
Your answer
Approximately how many students do you teach each year? (This helps us track impact.)
Your answer
Do you teach one or more large (more than 100 students) lower division courses?
Which department are you primarily affiliated with?
If your department was not listed above, please enter here.
Your answer
What is your position?
Event Details
Which BTtoP workshops are you planning to attend? - (You can always edit your responses later, if needed.) *
Required
What do you hope to take away from this event?
Your answer
Photo release
CEILS will be taking photos at our events. To speed up the check-in time at events, we are asking you here to agree to allow CEILS to use photos where you might be present on our website and promotional materials. If you ever see a photo being used by CEILS that you do not want public, please contact us at media@ceils.ucla.edu and we will remove it.
Do you agree to permit CEILS to put photos in which you are present on our website and/or other promotional materials? *
If you selected "NO" - please let one of our team members at the event know that you do not want your photo used and we will be sure to respect this request.
A copy of your responses will be emailed to the address you provided.
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