Class Videotaping and Consulting Request Form
For regularly-scheduled classrooms
If class size is over 28 students, taping will take place in your
regularly scheduled classroom
; please complete the request form below.
If class size is less than 28 students, videotaping may also be scheduled in in the
Kaufman Classroom
. If desired, please use the
Kaufman request form
.
Please submit this form well in advance of your requested tape date
Upon receipt, you will be contacted to confirm the date of the taping
After taping is complete, you will be contacted about meeting with the consultant
Note: requests received late in the term are more difficult to schedule!
Fields marked with
*
are required. Please do not leave blank.
Information About You
*
Name
*
Email address
Department
*
MIT Affiliation
Select One
Faculty
TA
Staff
Office Address
*
Phone
Information About The Subject to be Videotaped
Course Name
Course Number
Most students are
Select One
Freshmen
Upperclassmen
Grad Students
*
Approx. number
of students in class
*
Class location
Information For Scheduling the Videotaping
*
Subject meets
regularly
Select One
Monday
Tuesday
Wednesday
Thursday
*
Time
to
Preferred date for taping
*
1st choice
2nd choice
3rd choice
MIT
:
Center for Advanced Educational Services
:
Teaching and Learning Triad
: