• Click Here to Review the Fall 2009 Classroom Visit Form

Please fill out this form to request a classroom visit. 

* Professor Name:

* Phone: * E-mail:

* Name of Class:

* Course Number:

* Meeting Days: * Time of Class:

* Class Location:

* Please enter your first and second choice for a classroom visit: (Date)
First choice: Second choice:

* Approximate number of students in class:

* Does the classroom have powerpoint capabilities: Yes No

I would prefer a:

* Traditional classroom visit:     Yes No

* Customized classroom visit:   Yes No

* Classroom visit not needed:   Yes No

* Is service learning optional or required:

* How is reflection used in this class:

* Are you interested in CS-L reflection resources or facilitation of reflection sessions: Yes No

* Denotes Required Field.

Questions?  Please contact Walt Ghant - ghantwa@jmu.edu

(540) 568-6366