EYES-ON-PSE: Partner Interest Form
Please complete and submit this form to indicate your interest to be an EYES-ON-PSE pilot partner.  Note: only one form needs to be completed per institution (or one per campus for institutions running different pilot programs at each site).

If you are interested in viewing EYES-ON-PSE and/or RARC's other transition programs, please email eyes-on-pse@queensu.ca and include your date of birth, so an account can be created for you. 
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Name of individual completing the form *
Email Address *
Name of your post-secondary institution *
What LMS does you institution use/would you be using to host your EYES-ON-PSE pilot program? *
Please indicate whether you are: *
If you are ready to sign on as an EYES partner, please complete the following questions:
Please list the name, email and role of all individuals participating in the pilot from your institution.
Please indicate the primary contact(s) for your EYES-ON-PSE course.
Do you have someone on your team or access to someone at your institution with skills and/or expertise in managing your institution's Learning Management System (LMS) platform?
Clear selection
Please provide a brief overview of the scope and goals you have for your EYES program. These parameters may change and evolve as you begin, depending on available time, staff and resources at your school. This information is requested in order to give the RARC team a preliminary idea of what you envision for your institution's program.
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