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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:


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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