Clicker Users Form
Thank you for choosing to use Clickers in your classroom this semester! We look forward to working with you as you incorporate the clicker technology into your teaching. Please take a few moments to fill out the following form so that we can ensure your classroom is clicker ready.
Faculty Name *
Please provide First and Last Name.
Your answer
Faculty Email Address *
Please provide your preferred email address.
Your answer
Faculty Phone Number *
Please provide your preferred phone number.
Your answer
Department *
Your answer
Are you interested in borrowing Clickers from CIT? If so, how many?
(Identify the amount of Clickers needed if you wish to borrow a set for short-term use or special event)
Your answer
Class Using Clickers *
Please provide the name of the class and the Course ID.
Your answer
Approximate Number of Students *
Your answer
Classroom(s) where Clickers will be used *
Please list all of the classrooms you will be using clickers in.
Your answer
Computer Platform used by Instructor in the Classroom *
Semester Using Clickers *
Ex: Spring 2011
Your answer
Have you used clickers in your classroom at JMU before? *
Required
Would you like to schedule a house call to get clickers ready for the semester? *
Required
What software are you interested in using? *
Please check all that apply.
Required
Questions or Comments?
Your answer
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