Schedule a Teaching Collaboration

Today's Date:*
Date Format: MM slash DD slash YYYY
Contact Name:*
Email Address:*
Department/Organization:*
Course/Event Title:*
Course Number (if applicable):
Location of class/event:*
Time (days and hours of class/event):*
What date or dates were you considering for this teaching collaboration?
Expected Enrollment/Attendance:*
Level (select all that apply):*
Type(s) of Writing Assignments:*
Length of Paper(s):*
Date(s) Due:*
In addition to collaborating with a Writing Center instructor to design a one- or two-part lesson on writing, are you currently interested in consulting with a member of our team on your syllabus, assignment design, or grading practices?*
- Yes
- No
- Maybe
In addition to having a Writing Center instructor work with you on a teaching collaboration, are you interested in also learning more about brief introductions or study jams with the Writing Center?*
- Yes
- No
- Maybe
Have you had the Writing Center join you for a teaching collaboration before?*
- Yes
- No
Please add any additional information regarding this request.
Name
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