Faculty & Staff Evaluation

Complete this form to request that a class be evaluated. Provide as much information as possible to ensure that your request is handled as efficiently as possible. Questions can be directed to the number listed below. Please submit one request per class.

* Indicates required field.

Instructor Information
Last Name	*
First Name	*
Datatel ID

Course Information
Course Title
Course Number
Course Synonym	*
Number Enrolled
Session Length	(ex. 8 week, 16 week, etc.)
Location of Class
Comments or Special Instructions

Requestor Information
Requestor Name	*
E-mail Address	*
Daytime Phone	*
Alternate Phone

Instructor Information

Course Information

Requestor Information