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ITC SIGN-UP FORM

PLEASE NOTE - You must register from an ON-CAMPUS computer (either Brown or RISD).



A. IDENTIFICATION

Last Name (required) 

First Name (required) 

Department (required) 

Status (required)  Faculty Member Post Doc Teaching Fellow Teaching Assistant Undergraduate

Box #: (required)  

Phone #:(required)

E-mail address: (required)  

Preferred Contact
Please indicate your preferred means of contact: (required)  e-mail phone campus mail

Desired Date of Observation: (enter a specific date - month, day, and year) (required) 

N.b. You must request your consultation at least 2 weeks in advance of the date you wish to be observed.
Today's Date is: July 6, 2008

Desired time of Observation: (required)

Please indicate precisely what time you would like Consultants to observe your class.
This may not correspond exactly with the class meeting time (1 hour max.).

Is this a "one time" teaching opportunity?
(i.e. is this the only date/time that consultants will be able to observe
your teaching during this semester?) (required) 
yes no

B. OBSERVATION SESSION

Before filling out this section of the form, make sure that you have
read, and understand the ITC Guidelines.

1. This session:  What are your pedagogical goals and teaching strategies for this session: HOW will you teach this subject to your students? (required) 

2. Context: What are the goals and objectives of the course? How will this session relate to the course as a whole (e.g. a unique lecture, discussion/lab to amplify faculty lecture, homework session)? Is the class being observed representative of other classes during the semester (or are you trying something new/different that you would like us to comment on)? (required) 

3. Consultation Goals:  On what aspect(s) of your teaching would you like feedback from this consultation? (e.g. teaching strategies, student learning, etc.) Are there any other aspects of your teaching you would like us to help you with (handouts, overheads, application of technology: powerpoint, newsgroups, etc.)? (required) 

4. Logistics
Course Number/Title: (required) 

Location and address of course. Please be as specific as possible (required).
RISD students - please indicate whether the location is on the East Side or downtown, and provide cross-street and walking directions from Brown, in addition to building name and room number. (required) 

 


Format and Size:
Lecture    Language Class    Lab  Size: 
Discussion / Section    Other 
Is class conducted in a language other than English? yes no

NOTE: All sessions are videotaped.

   

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