Assignment Request Form
The Experimental Education Unit is happy to support students with opportunities to observe classrooms, interact with students and interview staff. Please understand that you are responsible for having the equipment and instruments you need in order to complete your assignment (i.e., assessments, curriculum, video equipment, etc.). When you arrive, please check in at the front desk and get a visitor badge. The receptionist will direct you to the classroom.
Email address *
Name *
Your answer
Phone Number *
Your answer
Name of school or university *
Your answer
Program(s) Requested *
Required
Number of days needed o complete assignment *
Your answer
Number of ours needed to complete assignment *
Your answer
Assignment due date *
MM
/
DD
/
YYYY
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
AM (8:30-11:30AM)
PM (12:15-3:15PM)
Notes regarding availability
Your answer
Please provide a brief description of your assignment *
Your answer
Name of course *
Your answer
Name of professor or instructor *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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