Faculty Teaching Observation Request Form 2019-2020
Please use this form to request a CTL Teaching Observation.
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Your Information
First Name: *
Last Name: *
Email Address: *
With which Columbia school are you most closely affiliated? *
With which department are you most closely affiliated? *
Which of the following best describes your role at Columbia? *
Cell Phone Number *
Required in case we need to contact you on the day of the scheduled observation.
Observation Date & Time
You must request your observation at least two weeks in advance of the date you wish to be observed. Please note that consultants will observe for up to one hour, even if the class may run longer.
Desired Date and Time of Observation *
Enter a specific date and time you would like a consultant to observe your class. Your selected date must fall between September 23 - November 22.
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Is this a "one time" teaching opportunity? *
Is this the only date/time that consultants will be able to observe your teaching during this semester?
2nd Choice - Desired Date and Time of Observation
(if this is not a one-time opportunity). Your selected date must fall between September 23 - November 22.
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3rd Choice - Desired Date and Time of Observation
(if this is not a one-time opportunity). Your selected date must fall between September 23 - November 22.
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Course Context
Please provide some context for our teaching observation. What, in particular, would you like the consultant to be aware of regarding this observation experience? *
On what specific aspects of your teaching would you like feedback? In other words, what area(s) would you like the consultant to focus on during your observation? *
Observation Logistics
Course Number & Title *
Location (Building & Room Number) *
Please provide specific directions if needed for entering the building. If the room has not been confirmed, please enter TBD.
Class Format *
Select the best description of your course.
Class Size *
Is this class conducted in a language other than English? *
Is this your first CTL observation? *
How did you hear about this service? *
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