CTL Consultation Request Form

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CTL Consultation Request Form

Please use this form to meet with a CTL consultant regarding a teaching-related topic of your choice (e.g. course design, instructional strategies, developing learning outcomes, designing assessment, giving feedback, using technology in class, and etc.).

Fill out the form, and a CTL staff member will be in touch to set up a free, confidential consultation with you.

I am a/an ____

full time faculty member

part time faculty member

ELS instructor

research assistant

Other:

Name & Surname:
*

TEDU Email:
*

Phone:
*

What faculty and/or department are you affiliated with?
*

Consultation Type:

Individual Consultation

Departmental or Group Consultation

Format Preference:

In person

Online

Preffered Consultation Date & Time option 1:
*

Preffered Consultation Date & Time option 2:

Preffered Consultation Date & Time option 3:

Please tell us what you would like to discuss during the consultation session (e.g. course design, instructional strategies, developing learning outcomes, designing assessment, giving feedback, using technology in class, and etc.)
*

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