Student Evaluation of Faculty Request Form

FACULTY INFORMATION:

Last Name:               First Name:

Department:

COURSE EVALUATION INFORMATION:

Prefix:            Course #:            Section #:         (i.e., 101)   Enrollment:

Location:         (i.e., HAVRE)

Date:         //   Time:         : for scheduled evaluation

PLEASE PUSH THE "SUBMIT" BUTTON ONE TIME ONLY