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Course Title
Name of Instructor:
Preferred Mailing Address
Campus Phone
Home Phone (for emergencies only)
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Course/Lab Supplies The Office of Summer and Continuing Studies seeks to support the use of resources that will enhance the classroom experience for your students. We will order your supplies via telephone or the web. Please be specific - list catalog numbers and estimated cost. When we place the order, we will inform you of the estimated time of delivery. All instructors are responsible for ensuring that the supplies have arrived and notifying us if delivery dates have passed; we will initiate further contact with the vendor. If you wish to purchase common school supplies during the course (maps, charts, graph paper, special markers, etc.) please let us know; if we approve the request, we ask that you purchase the items and turn your receipt in for reimbursement. Supplies:
Shipment Address for Supplies:
Media Supplies
Indicate your media equipment needs below. Please be as specific as possible with days and dates. Equipment will be set up in your room for the first day of class. If you need extra assistance in connecting and operating your media equipment, you must contact Media Services directly at 3-2197 at least 7 working days in advance of the requested date.
Classrooms
All instructors: We will book non-departmental rooms and lab space for your classes. If your course content requires daily media usage, we will attempt to secure a room with installed equipment, although we cannot guarantee availability. If you wish to use classrooms or labs within your department, you must contact your department manager to reserve your own space. Please detail any special features or accommodations that your classroom requires. Please include any laboratory requests with days and times.
Returning Instructors Was last summer’s classroom satisfactory? Yes No
If not, please explain:
Computing Needs
Indicate below if your class will require use of a computer lab in the CIT. Be sure to specify what day(s) this will be necessary, and briefly describe the coursework that requires a computer lab. Our computing facilities are limited, so please note that we may not be able to approve all requests.
Field Trips Do you anticipate incorporating a field trip into your class?
Yes No
If yes, please provide us with the following basic information. We will send you a detailed form in the coming weeks.
Destination
Date
Purpose of Trip
Please list other information that we need to know in order to facilitate the process of preparing for your class, i.e. guest lecturers, etc.
