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.*

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

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

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.

Faculty and Staff Orientation and/or Training Events

Service Request*

Training
Orientation Event
Student Event

Department*

Target Audience*

Current Students
Future Students
Staff/Faculty

Approximate number of participants*

Please indicate the format in which your event will take place.*

In-Person
Online Synchronous
Online Asynchronous
HyFlex

Please select the type of presentation:*

Information about CSAS
Information about the Incentive Program

Ideal Presentation Length*

Please indicate the approximate length of time

Event Location*

Virtual/Online
In-Person

How would you like the CSAS content presented?*

Asynchronously (pre-recorded video)
Synchronously (virtual/online)

By which date would you like the recording provided to you?*

Would you like to request a single or multiday service?*

Single day
Multiday

Day 1*

Day 1 Time*

: HH

MM

Day 1*

Day 1 Time*

: HH

MM

Day 2*

Day 2 Time*

: HH

MM

Day 3*

Day 3 Time*

: HH

MM

Is this your first time requesting a service from CSAS?*

Yes
No

How did you hear about these services?*

Please provide a detailed description of your request*

Additional comments

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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