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. First Name Last Name College College - Select -College of ComputingCollege of DesignCollege of EngineeringCollege of SciencesGTRIIvan Allen College of Liberal ArtsProfessional EducationScheller College of BusinessOtherOther… Enter other… Department Department - Select -Aerospace EngineeringArchitectureAthletic AssociationBiological SciencesBiomedical EngineeringBuilding ConstructionC21UCareer ServicesCATEACEISMCCenter for Academic EnrichmentCenter for International Strategy, Technology & PolicyCTLChemical & Biomolecular EngineeringChemistry & BiochemistryCity and Regional PlanningCivil & Environmental EngineeringCRCDean of StudentsEarth & Atmospheric SciencesEconomicsElectrical & Computer EngineeringEnterprise Innovation InstituteHistory, Technology, & SocietyHonors ProgramHousingHuman ResourcesIndustrial & Systems EngineeringIndustrial DesignInstitute of Paper Science & TechnologyInteractive ComputingInternational AffairsLanguage InstituteLibraryLiterature, Media, & CommunicationMaterials Science & EngineeringMathematicsMechanical Engineering Modern Languages MusicOffice of AssessmentOffice of Faculty AffairsOffice of Graduate EducationOffice of International EducationOffice of Institute DiversityOffice of Undergraduate EducationOITOMEDPhysicsProfessional DevelopmentPsychologyPublic PolicyRegistarROTCScheller College of BusinessStudent CenterStudent AffairsOther… Enter other… GT Email Status Status - Select -Master's StudentPh.D. StudentPostdoctoral FellowOther… Enter other… Course information Please provide the name and number of the course. How many students are in your course? Are you requesting this observation as part of the Tech to Teaching capstone? Yes No What type of observation are you requesting? I would like someone to visit my face-to-face class meeting I would like someone to observe my online synchronous class meeting (i.e., BlueJeans) I have a set of asynchronous materials in my Canvas shell to be reviewed Observation location If you selected "face-to-face observation", enter your classroom location here. If you selected "remote synchronous observation", enter your Bluejeans class link here. What time does your class meet? Let us know what time you will be teaching. How many observations? One Two 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. Observation Date 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. What are you hoping to gain from this observation? 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. Additional Information Is there any additional information you would like us to know? Agreement I Agree 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. CAPTCHA Get new captcha! What code is in the image? Enter the characters shown in the image. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank