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QOLT Interest Form

Page One

1. Instructor Contact Information *This question is required.

First Name

Last Name

Department

College

Cal State LA Email Address This question requires a valid email address.

Office Phone Number

Alternate Phone Number

Course Details

*This question is required.

Course Name
Course Number & Section
Term Taught

Which of the following best describes the instructional format of the course?

Please describe the use, if any, of outside materials, such as a publisher website, online homework, virtual labs, etc.

How would you like to solicit feedback from your students?

*This question is required.Check all that apply

I would like CETL to email my students
I would like the survey posted in my Moodle shell
I would like a Moodle News Forum announcement sent to my students
Please provide me the survey link so I can send to my students