CET&L Consultation Request
Fill this out each time you require a consultation.

PLEASE NOTE: We are experiencing a high volume of requests due to the start of Spring semester. You will hear from one of our Assistant Directors within 2 business days of your request. If you need immediate assistance, please reach out to the IT department, or Canvas Help. Thank you.
First Name *
Last Name *
Department *
UC Email *
Job Title & Academic Rank *
Primary College *
Is there a particular CET&L staff member you would like to meet with? *PLEASE NOTE: We will do our best to match you with your requested staff member, however due to high demand, you may not be matched with your request. We appreciate your understanding.
What would you like help with during your consultation? *
Required
List the titles and course numbers for the courses you would like to discuss with CET&L staff.
Please identify 1-3 specific goals for your consultation with CET&L.
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