Open Class Submission Form

1. Submission Page

Faculty members can use this form to submit the details of an open class session. Please submit one form for each open class session.

Forms must be received by Feb. 10, 2012 to be included in our print materials. The week of events will happen March 19 - April 4, 2012.

Please direct any questions or concerns to Dr. Meriel Tulante at tulantem@philau.edu or Dr. Stacey Van Dahm at vandahms@philau.edu.

1. Faculty Member's Name:

Faculty Member's Name:

2. Phone Number:

Phone Number:

3. Email Address:

Email Address:

4. Would you like students to RSVP to you if they plan to attend your class?

Would you like students to RSVP to you if they plan to attend your class? No

Yes, via email

Yes, via phone

Yes, via email or phone

5. Course Number:

Course Number:

6. Course Name:

Course Name:

7. Date of open session:

Date of open session:

8. Start Time of Open Session:

Start Time of Open Session:

9. End Time of Open Session:

End Time of Open Session:

10. Location of Open Session:

Location of Open Session:

11. Topic of Open Session:

Topic of Open Session:

12. Description of Open Session:

Description of Open Session: