Course Consultation Request Form - Teaching and Learning Services

Name*

First Last

Carleton Email*

We require a Carleton email address, NOT Hotmail, Gmail, Yahoo, etc.

Phone

Department*

I am a*

Faculty Member/Instructor
Contract Instructor
TA

Course and Section*

What term(s) are you teaching:*

Early Summer 2021
Late Summer 2021
Full Summer 2021
Fall 2021
Winter 2022

I would like to use content from a previous course I taught..*

Yes
No
Not sure
N/A

Number of Students*

Have you taught this course before?*

Yes
No

Course Type*

Converting a face-to-face course
Updating an online course
Converting to a HyFlex course

Would you like to use a course template for your course?*

Yes
No

Would you like a accessible PowerPoint template to use in your course?*

Yes
No

Do you plan on using Quizzes or content from Question Banks from a previously taught course?*

Yes
No
Unsure

If yes, please provide the course code and the semester in which it was last taught. If yes, do you have questions that meet any of the following criteria? Questions containing MathJax or LaTex code for rendering equations or graphs Calculated questions Questions containing wildcards or shared wildcards.

Do you plan to have a final exam in your course?*

Yes
No

I would like to put my TA in touch with support and resources.*

Yes
No
N/A

I would like to have assistance recording my class.*

Yes
No
N/A

Technology - What do you need help with: (check all that apply)*

Pedagogy - What do you need help with: (check all that apply)*

Accessibility*

Creating accessible documents and experiences
N/A

Other: Please describe*

Please put in "N/A" if not applicable

Please attach your course outline (or previous course outline) in PDF format

Drop files here or

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