Please note: This classroom observation form must be submitted at least 2 weeks before your desired observation date. CTL coordinates the observation assignments with our faculty and Graduate Teaching Fellows to ensure the most successful observation experience possible. Without 2 weeks notice, we may not be able to arrange your observation. For summer capstone participants, your form must be submitted at least 1 week prior to your observation date. 
College
Department
Status
Please provide the name and number of the course.
Are you requesting this observation as part of the Tech to Teaching capstone?
What type of observation are you requesting?
If you selected "face-to-face observation", enter your classroom location here. If you selected "remote synchronous observation", enter your Bluejeans class link here.
Let us know what time you will be teaching.
How many observations?
How many observations would you like to schedule? Capstone participants will complete two observations; you can schedule both of them now or submit separate forms.
What date would you like the observation to occur? To assist with our scheduling, please indicate your first choice date and one or more alternate dates, if possible.
The observer will provide feedback about four primary elements of your lesson: learning goals and assessment of learning, instruction strategies, presentation skills, and classroom climate. Please describe any additional specific, targeted feedback about your teaching that you would like to receive.
Is there any additional information you would like us to know?
Agreement
Check here to signify that you understand and agree to participate in the entire classroom observation process, including the post-observation meeting and post-observation reflection.
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