CET&L Consultation Request
Fill this out each time you require a consultation.
First Name *
Your answer
Last Name *
Your answer
Department *
Your answer
UC Email *
Your answer
Job Title & Academic Rank *
Your answer
Primary College *
Is there a particular CET&L staff member you would like to meet with?
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.
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Please identify 1-3 specific goals for your consultation with CET&L.
Your answer
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