Holistic Evaluation of Teaching Consultation

1. Name

2. Title (lecturer, adjunct, assistant professor, etc.)

3. Email This question requires a valid email address.

4. Department

5. Why you'd like to meet with a HET facilitator

Please enter an 'other' value for this selection.

6. Is there anything else we should know about the chat you’re requesting? (For example, will a departmental colleague be joining you? If so, please mention their name and encourage them to complete this form as well, so we have their contact info.)