Marriott Library Instruction Statistics

1. Instruction Statistics Form

Please enter the following information about all course-integrated instruction and workshops taught. Please fill out the form separately for each class, section, or workshop taught.

To have an instructor name or course added to the drop-down menus on this form, please contact Sarah Bosarge (sarah.bosarge@utah.edu)

1. Your name:

Your name:

2. What class did you provide instruction for?

What class did you provide instruction for?

3. This was:

This was: the only time I will meet with these students

the first of multiple times I will meet with these students

the second or other subsequent meeting with these students

4. On what date did the instruction take place?

	MM		DD		YYYY
enter date	On what date did the instruction take place? enter date Month	/	Day	/	Year

5. How long was this session?

How long was this session?

6. How many students attended the instruction?

How many students attended the instruction?

7. What classroom did you teach in?

What classroom did you teach in? MLIB 304A

MLIB 1705A

MLIB 1705B

MLIB 1705F

MLIB 1715

MLIB 1725

MLIB 1735

MLIB 1745

Fine Arts Classroom

OSH 112 PC LAB A

OSH 112 PC LAB B

OSH 112 MAC LAB

Other (please specify)

8. Did you use the laptop cart?

Did you use the laptop cart? Yes

9. Approximately how many hours did you spend preparing for this session?

Approximately how many hours did you spend preparing for this session? less than 1

1-2

2-3

3-4

4-5

5-6

more than 6

10. Additional comments:

Additional comments:

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