Center For Object Study                      Preliminary Room Request Form
Requests will be reviewed on a first come first served basis. Once your request has been reviewed you will receive a confirmation email with your date and time. If you do not receive a confirmation email within 5-7 business days please contact a scheduling assistant at Bernstein.Center.for.Object.Study@Dartmouth.edu. If you indicated that you would like to speak to Academic Programming staff, either Katherine Hart or Amelia Kahl will be in touch.
Sign in to Google to save your progress. Learn more
Faculty Name: *
Course Department: *
Course Number: *
Course Title: *
Course Hour:
What are your goals for your class session? *
Who will be teaching? *
Required
How would you like to choose your objects? (Check all that apply) *
Required
First Choice of Date *
MM
/
DD
/
YYYY
First Choice of Time *
Time
:
Second Choice of Date *
MM
/
DD
/
YYYY
Second Choice of Time *
Time
:
Third Choice of Date
MM
/
DD
/
YYYY
Third Choice of Time
Time
:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report