J1 Evaluation Canvas Access Request Form

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Please complete this form to schedule access to a Canvas course for a J1 Evaluation. Due to volume and capacity, Tenure and REP requests will be prioritized. Please complete the form at least a week in advance of the desired week of access.

Name of person completing this form *

FHDA email of person completing this form *

Name of instructor to be evaluated *

FHDA email of instructor to be evaluated *

CWID of instructor to be evaluated *

Academic Division of instructor to be evaluated *

Academic Department of instructor to be evaluated *

Name of evaluator *

FHDA email of evaluator *

CWID of evaluator *

CRN of course to be evaluated *

Name of course to be evaluated WITH SECTION (e.g. MATH 1A.12Q) *

Week of Evaluation (use Other only for non-tenure and REP evaluation requests outside of weeks 4-8) *

Week 4

Week 5

Week 6

Week 7

Week 8

Other:

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