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Contact EIS

Request Observation

EIS is able to provide feedback on your classroom/lab based on direct observation.  This can be done with or without video, according to your preference. 

When are you teaching?

Monday Tuesday Wednesday Thursday Friday
Time: Time: Time: Time: Time:

What type of session will it be?

Lecture Lab Other (Specify)

When would you like to be observed?

As soon as possible
Within one week
Within two weeks
Within three weeks
Within one month
No specific time frame

Please provide your contact information:

First Name:
Last Name:

Department:

E-Mail:

Phone:


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