CTL Classroom Observation Request Form

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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:
*

TEDU Email:
*

Phone:
*

What faculty and/or department are you affiliated with?
*

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:
*

Preffered Observation Date & Time option 2:
*

Preffered Observation Date & Time option 3:
*

Is there any additional information you would like us to know?

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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