SIZ Room Request Proposal Form for Summer 2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in teaching in the Sakamaki Innovation Zone!

Email *

Last Name *

(family)

First Name *

(given)

Phone Number *

(a number where we can reach you if needed)

Choose: *

Professor

Associate Professor

Assistant Professor

Instructor

Lecturer/Adjunct

Graduate Student Instructor

Teaching Practicum Student

Postdoc

Department *

Course Number *

(ex: BIOL 375)

Course Name & Section *

(ex: Genetics - Sec 1)

Class Days *

(ex: T/R)

Class Hours *

(ex: 12:00-1:15)

Course Capacity *

(maximum number of students)

Will there be additional instructors for this course? *

*if yes, please provide their name and email

Have you used any of innovative CTE classrooms before? *

Yes

If yes, how many semesters have you used an innovative CTE classroom?

I understand that the Sakamaki classrooms require me to BYOD (bring my own device). *

Yes

I agree to be responsible for the room during the time I occupy it. *

Yes

Willing to have a CTE faculty possibly make an informal visit to assess that the space supports your course. Time and date by agreement with you. *

Yes

Willing to accept occasional VIP* visit to your space during class period, following an email notification. *

*VIPs may include: Hawai`i State Legislators who fund Mānoa capital improvement projects including innovative classroom spaces, architects & designers working on campus projects, and academics & administrators from other universities & campuses. This is a result of these spaces gaining national recognition & awards for teaching & learning design & implementation, and being highlighted by UH Manoa in student recruitment.

Yes

If my course is selected, I will attend a 30-minute orientation to the room I’ve been assigned. *

Yes

Please write a BRIEF* statement of what makes your course innovative, including some features of the course and some desired outcome that define it as innovative in nature. *

*up to 450 words or less than 3300 characters

For this course, will you need the room during the assigned final exam period? *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of University of Hawaii. Report Abuse

Forms