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Mid-Course Feedback Survey
Mid-Course Feedback Survey Information and Request Form
If you would like to have the Mid-Course Feedback Survey forms mailed to you, please complete the following form:
Yes, I would like to use the Mid-Course Feedback Survey.
I plan to administer the survey in
section(s) of the following:
recitation section
class
studio
lab
grader
Course & Section Number (Ex: ECN 101-001):
Course & Section Number (Ex: ECN 101-001):
Course & Section Number (Ex: ECN 101-001):
Course & Section Number (Ex: ECN 101-001):
Please send me a total of
copies of the survey and
cover sheets (one per section).
No, I would not like to use the Mid-Course Feedback Survey.
Comments:
Name:
S.U. ID
TA Department:
E-Mail Address:
Address where you prefer to have materials mailed (campus address):
Phone Number:
Today's Date:
NOTE: This is not a replacement for your own department's survey. Please return this form whether or not you decide to make use of this particular offer.
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Mid-Course Feedback Survey
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