Instructional Request Form

Returning Instructor / Assignment Workshop Request

"*" indicates required fields

Your Name*

Your Wisc Email*

Enter Email Confirm Email

What is your course name and number?*

How many students are currently enrolled in your course?*

What is the max capacity for enrollment? (If enrollment is not closed)

Where does your course meet?*

Would you be interested in DesignLab hosting your class in College Library?*

(Selecting yes is not a guarantee that we can host your class, space may be limited and we will follow up with you about scheduling at College Library)

Yes

Requested date(s)/time(s) for the workshops?*

Please note that we need at least 3 weeks of notice for all workshop requests.

Topic for the Workshop (Select all that apply)*

Please provide details about the assignment, including goals and anticipated outcomes:*

Phone

This field is for validation purposes and should be left unchanged.

After submitting this form, you should receive a confirmation email. If you do not receive the email or you have not heard from us within a few days after submission, please email us at designlab@wisc.edu to confirm that the form was submitted properly.