INSTRUCTOR CLASS REQUEST FORM   
This form is for requests only. Class assignment is determined by the division dean.
             Last                          First                MI Preferred Phone number(s) Current E-Mail Address
     
SEMESTER   
 
DIVISION
 
Proposed Course(s) Location/Building/Room Preference Day/Time Preference Exclusively Free Materials Offering Preference
Subject Course No. Location Building Room Day(s) Start Time YES NO Select
 
COURSE OPTIONS: YES NO
Have you taken the @One Introduction to Online Teaching and Learning Course or any other accredited online certificate?
ACE offers fast pace courses (typically 8 week) - are you willing to teach one of these courses?
 
Please check the box in any timeslot you would NOT be available to teach. PLEASE NOTE in the box below: any other scheduling preferences, comments, or classroom needs (chalk allergy, etc.).
Hour Beginning: Monday Tuesday Wednesday Thursday> Friday
Unavailable All Day
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM