Faculty/Staff Requests

Please enter your Name*

First Last

Carleton Email Address*

Selection of Service Request*

Please select the type of service being requested. Your selection will appear below.

In-class Presentation

If you are requesting multiple sessions, please submit separate forms for each request.

Faculty*

Class Title*

(Example: History of Europe)

Course and Section*

(Example: HIST 1003 A)

Class Size*

Please enter a number from 0 to 1000.

Please indicate the format in which your course takes place.*

In-Person
Virtual

Please indicate the format in which you would like the presentation to take place.*

In-Person
Virtual

Class Location*

(Example: SA 402, MS Teams, Zoom)

Optional Date 1*

Optional Date 1 Time*

: HH

MM

Optional Date 2*

Optional Date 2 Time*

: HH

MM

Optional Date 3*

Optional Date 3 Time*

: HH

MM

Please select ONE learning or writing support workshop topic.*

Please note all of our learning and writing support workshops are about 50-60 minutes in length. For a description of each workshop, please visit our Learning and Writing Support Workshops page.

Please provide us with detailed information about the customized presentation you are interested in.

Have you had a CSAS in-class presentation previously?*

Yes
No

Is this class participating in the Incentive Program?*

Yes
No

How did you hear about the CSAS in-class presentations?*

Do the existing in-class presentation topics address your students' needs? If not, what other topics would you like to see added?

Additional Comments

Incentive Program

Please note: In order to participate in the Incentive Program, instructors must have access to Brightspace for their course.

Faculty*

Class Title*

(Example: History of Europe)

Course and Section*

(Example: HIST 1003 A)

Class Size*

Please enter a number from 0 to 1000.

For which term(s) will the course be a part of the incentive program?*

Please enter the number of workshops that you would like students to complete?*

Please enter a number from 1 to 19.

What workshops are you requesting students to complete?*

For a description of each workshop, please visit our Learning and Writing Support Workshops page.

Is this your first year participating in the Incentive Program?*

Yes
No

Do you want to request an Incentive Program information session for your students?*

Yes
No

The Incentive Program Information session is approximately 20 minutes. To request a session, please complete the In-class Presentation section of the Faculty/Staff Request Form.

How did you hear about the Incentive Program?*

Do the existing workshop topics address your students' needs? If not, what other workshop topics would you like to see added?

What encouraged you to register with the Incentive Program?

Do you have any other recommendations you would like to include?

Additional Comments

After submitting a request, our team will reach out to you with further information and instructions.

Please watch for a confirmation email after submitting this form. If you do not receive a confirmation email after submitting the form, please refresh your page, clear your cache, and try submitting again. If you still do not receive an e-mail receipt after your submission, please contact us at csas@carleton.ca regarding your registration.

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