Student Evaluation of Online Instructor Request Form
Your Name *
Your answer
Your Email Address *
Your answer
General Information
Is this a COMPREHENSIVE evaluation? *
When would you like to BEGIN the evaluation questionnaire? *
MM
/
DD
/
YYYY
When would you like to END the evaluation questionnaire? *
MM
/
DD
/
YYYY
Who should receive the evaluation questionnaire result? *
Your answer
Instructor Information
Please provide more information on the instructor who is going through the evaluation process below.
First Name *
Your answer
Last Name *
Your answer
Department *
Your answer
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