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Fields
Name
*
First Name
*
Last Name
*
KSU Email
*
College
*
Bagwell College of Education
Coles College of Business
College of Architecture and Construction Management
College of Computing and Software Engineering
College of Graduate and Professional Education
KSU Journey Honors College
Norman J. Radow College of Humanities and Social Sciences
College of Science and Mathematics
College of the Arts
Southern Polytechnic College of Engineering & Engineering Technology
Graduate College
University College
WellStar College of Health and Human Services
Library Systems
Other
Department
*
Department of Chemistry and Biochemistry
Department of Civil and Construction Engineering
Department of Computer Engineering
Department of Computer Science
Department of Construction Management
Department of Culinary Sustainability and Hospitality
Department of Dance
Department of Ecology, Evolution, and Organismal Biology
Department of Economics, Finance and Quantitative Analysis
Department of Educational Leadership
Department of Electrical and Computer Engineering
Department of Elementary and Early Childhood Education
Department of Engineering Technology
Department of English
Department of Exercise Science and Sport Management
Department of World Languages and Cultures
Department of Geography and Anthropology
Department of Health Promotion and Physical Education
Department of History and Philosophy
Department of Inclusive Education
Department of Information Systems
Department of Information Technology
Department of Interdisciplinary Studies
Department of Marketing and Professional Sales
Department of Mathematics
Department of Mechanical Engineering
Department of Robotics and Mechatronics Engineering
Department of Molecular and Cellular Biology
Department of Physics
Department of Psychological Science
Department of Secondary and Middle Grades Education
Department of Social Work and Human Services
Department of Sociology and Criminal Justice
Department of Software Engineering and Game Development
Department of Statistics and Analytical Sciences
Department of Systems and Industrial Engineering
Department of Technical Communication and Interactive Design
Department of Theatre and Performance Studies
Honors College - Office of the Dean
KSU Library System
Michael A. Leven School of Management, Entrepreneurship, and Hospitality
School of Accountancy
School of Art and Design
School of Communication and Media
School of Conflict Management, Peacebuilding and Development
School of Government and International Affairs
School of Instructional Technology and Innovation
School of Music
Siegel Institute for Leadership, Ethics and Character
WellStar School of Nursing
Other or Not Applicable
Referred by:
*
CETL Website
CETL E-communication
Referral: CETL Staff
Referral: Colleague
Referral: Supervisor
Self-Initiated
Other/Not Applicable
If you chose 'Other' in the previous question, please explain who referred you:
Choose the mode of interaction you wish to receive from a CETL consult:
*
Consultation
Observation Only
Student Focus Group (SGID) only
Observation with SGID
Other
If you chose 'Other' in the previous question, please explain:
Reason(s) for requesting classroom observation/consultation:
*
Accessibility
Assessing Student Work
Classroom Management
Course Design
Course Materials Feedback
COVID-19 Response
Engaging/Motivating Students
Faculty Learning Community
Graduate Student Professional Development
Grant Writing
High Impact Practices
Inclusion
It's About Engagement Initiative
Job Search (teaching-related)
Learning Theory
Metacognition/Critical Thinking
Online Learning
Pedagogical Approaches
Review of Teaching Philosophy
Scholarship of Teaching and Learning
Student Feedback on Teaching
Syllabus Review
Technology Enhanced Learning
Other
If you chose 'Other' in the previous question, please explain:
Semester of Consultation/Observation Request
*
Example: Fall 2022 - the semester in which you wish to receive your consultation/observation in
Course Number and Title
*
Example: ENG 1101
Course Delivery Modality
*
Face-to-Face
Online Synchronous
Online Asynchronous
Hybrid
Other
Other/Not Applicable
If you chose "Other" or "Other/Not Applicable" in the previous question, please explain:
Day/Time of Class Meetings:
*
Example: MWF 11:00 am - 12:00 pm
Location of Class Meetings:
*
Example: Kennesaw Campus, EB 101
Platform Used (if meeting virtually)
*
Please type N/A if inapplicable
Number of Students Enrolled
*
Besides D2L, what other technologies or applications are used to facilitate this course?
*
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