Faculty Teaching Observation Request Form 2021-2022
Please use this form to request a CTL Teaching Observation.
Your Information
First Name: *
Last Name: *
Email Address: *
With which Columbia school are you most closely affiliated? *
With which department are you most closely affiliated? *
Which of the following best describes your role at Columbia? *
Observation Date
You must request your observation at least two weeks in advance of the date of the class session you will be observed. Please note that consultants will observe for up to one hour of your class session, even if the class may run longer.
Desired Date and Time of Observation *
Enter a specific date and time of the class session that you would like a consultant to observe.
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Time
:
Will this class session be recorded? *
2nd Choice - Desired Date and Time of Observation *
Enter a specific date and time of the class session that you would like a consultant to observe.
MM
/
DD
/
YYYY
Time
:
Will this class session be recorded? *
Course Context
What is the course modality? *
Please provide some context for our teaching observation. What, in particular, would you like the consultant to be aware of regarding this observation experience? *
On what specific aspects of your teaching would you like feedback? In other words, what area(s) would you like the consultant to focus on during your observation? *
Observation Logistics
Course Number & Title *
Class Format *
Select the best description of your course.
Class Size *
Is this class conducted in a language other than English? *
Is this your first CTL observation? *
How did you hear about this service? *
Any additional information or comments:
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