UBlearns In Class Instruction Request Form

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Use this form to request an in class demonstration or a hands on workshop on UBlearns for your students. A staff member will contact you within two business days.

All fields are required to be completed for the submission of this form.

For which semester (e.g. Fall 2004)
About the course Name (e.g. Introduction to Psychology)
Number (e.g. PSY101ARR)
Regularly scheduled room (e.g. Baldy 101)
Day class meets (e.g. Monday and Wednesday)
Time class meets (e.g. 9:30-11:45am)
About you I am the faculty teaching this course.
I am submitting for the faculty who teaches this course.
Contact information Faculty name
Faculty phone
Faculty email

If you are submitting for the faculty who teaches this course then complete the following:
 Your name
Your phone
Your email
About the request Demonstration of the software only
A hands on workshop (may require a location other than your regularly scheduled room)

Number of Students
Preferred Date (e.g. 01/29/2002)
Preferred Time (e.g. 9:30-11:45am)
Questions or Comments
(This field is optional)