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CTL Classroom Observation Request Form
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* Indicates required question
Please fill in this form to request a classroom observation from a CTL consultant.
I am a/an ____
*
full time faculty member
part time faculty member
ELS instructor
research assistant
Other:
Name & Surname:
*
Your answer
TEDU Email:
*
Your answer
Phone:
*
Your answer
What faculty and/or department are you affiliated with?
*
Your answer
What type of observation are you requesting?
*
I would like someone to visit my face-to-face class
I would like someone to observe my online synchronous class (i.e., Zoom, Teams)
Preffered Observation Date & Time option 1:
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Your answer
Preffered Observation Date & Time option 2:
*
Your answer
Preffered Observation Date & Time option 3:
*
Your answer
Is there any additional information you would like us to know?
Your answer
Check here to confirm that you understand and agree to participate in the entire classroom observation process, including the
pre-observation meeting, in-class observation
and
post-observation meeting.
*
I agree
Required
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