Supplemental Instruction (SI) Faculty Request Form
Please complete the prompts below to request Supplemental Instruction for your course.
Instructor's Name
Your answer
Office Location
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Phone Number
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Email Address
Your answer
Course/Section Information
This request is for:
Class:
Your answer
Section:
Your answer
Anticipated Enrollment
Your answer
Day/Time
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Building/Room Number
Your answer
Have you used SI before?
Qualifications of an SI Leader
In addition to proficient interpersonal skills, SI Leaders have both the academic maturity tools and course content mastery for the classes they support. SI Leaders enjoy sharing their knowledge with their peers, becoming closer to the faculty they work with, and report enhanced academic abilities and focus. The SI Leader works with groups of students outside of class, and also participates in class as a role model and learning facilitator. SI emphasizes collaborative learning and academic maturity skills, as well as content mastery.

Your SI Leader should be a student you know and can work with well.

Ideally, your SI Leader will have taken this class with you, and earned an A or above.

Do you have students in mind with whom you'd like to work?
If so, list them with contact information
Your answer
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