Instructional Request Form

Returning Instructor / Assignment Workshop Request

"*" indicates required fields

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

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)

When does your course meet? (ex: TR 1:00-2:15pm)*

Where does your course meet? (Building Name and Room # or Online)*

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

Would you like to require or give extra credit to students who come in to DesignLab?*

(You can always change your mind later. We just ask that instructors who provide credit to students who make appointments let us know so we can be prepared).

Yes

Unsure at this time

Topic for the Workshop (Select all that apply)*

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

Requested date(s) for the workshop(s)? Please provide 2-3 dates that would work*

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

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.