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Faculty Teaching Observation Request Form 2023-2024
Please use this form to request a CTL Teaching Observation
at least two weeks
prior to the date when you would like to be observed.
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* Indicates required question
Your information
First name:
*
Your answer
Last name:
*
Your answer
Email Address:
*
Your answer
With which Columbia school are you most closely affiliated?
*
Choose
Arts and Sciences
Barnard College
College of Dental Medicine
Columbia Climate School
Columbia College
Columbia Business School
Columbia Law School
Fu Foundation School of Engineering and Applied Science
Graduate School of Arts and Sciences
Graduate School of Journalism
Jewish Theological Seminary
Mailman School of Public Health
School of Architecture, Planning, and Preservation
School of the Arts
School of General Studies
School of International and Public Affairs
School of Nursing
School of Professional Studies
School of Social Work
Teachers College
Union Theological Seminary
Vagelos College of Physicians and Surgeons
With which department are you most closely affiliated?
*
Your answer
Which of the following best describes your role at Columbia?
*
Full-time Faculty
Part-time Faculty
Postdoctoral Fellow
Staff
Other:
Observation Date
You must request your observation at least two weeks in advance of the date of the class session you will be observed. Please note that consultants will observe for up to one hour of your class session, even if the class may run longer.
Desired Date and Time of Observation
*
Enter a specific date and time of the class session that you would like a consultant to observe.
MM
/
DD
/
YYYY
Time
:
AM
PM
Will this class session be recorded?
*
Yes
No
2nd Choice - Desired Date and Time of Observation
*
Enter a specific date and time of the class session that you would like a consultant to observe.
MM
/
DD
/
YYYY
Time
:
AM
PM
Will this class session be recorded?
*
Yes
No
Course Context
What is the course modality?
*
In-person
Hybrid or HyFlex
Online
Other:
Please provide some context for our teaching observation. What, in particular, would you like the consultant to be aware of regarding this observation experience?
*
Your answer
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?
*
Your answer
Observation Logistics
Course Number & Title
*
Your answer
Class Format
*
Select the best description of your course.
Lecture
Discussion / Section
Language Class
Lab
Studio
Other:
Class Size
*
< 20 Students
20 - 50 Students
51 - 100 Students
101 - 200 Students
More than 200 students
Is this class conducted in a language other than English?
*
Yes
No
Is this your first CTL observation?
*
Yes
No
How did you hear about this service?
*
CTL email
CTL website
University events calendar
Word of mouth
Other:
Do you have a particular CTL consultant you would like to work with? (Please note that we cannot guarantee consultant assignment; we will take into consideration your preference and consultant schedule and availability.)
Your answer
Any additional information or comments:
Your answer
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