Teaching, Learning & Technology Center
Teaching Consultation Form
 
Policies and Procedures

    The Teaching Learning & Technology Center is happy to videotape a 50 minute segment of your class, provided the videotape will be used in a consultation with a TLTC consultant1. This service is free and all consultations are confidential.

    A videographer will come to your classroom approximately 10 minutes before the class begins so that s/he can set up the camera and microphone. During the videotaping, in addition to videotaping you, s/he will also pan the room, and focus on any visual aids you might be using.

    The videographer will convert the tape to a DVD and bring it to the TLTC for review. Then a consultant will set up an appointment with you to discuss the recording. (The DVD will be given to you after the consultation.)

    If you would like to be videotaped for a midterm review, we will videotape between weeks three through seven2. We strongly suggest that you also have your students complete the on-line Midterm Evaluation found on the EEE website at http://eee.uci.edu/help/eval/. The more information we have, the better we can serve you.

    Once we receive your completed form, we will contact you to schedule a consultation and to confirm the date and time of your videotaping.

    (You don’t have to have your course videotaped to have a consultation; however it is helpful to the consultant to see you “in action,” your students’ responses, and the classroom.)

    1Requests for videotaping that do not include a consultation need to be directed to Barbara Valencia (bvalenci@uci.edu). Recharges might apply.

    2If you are not hoping to have your feedback before the end of the quarter, we will videotape any week.



Required Information
 
Name:  
     
Department:  
     

School:

  
     
Phone Number:  
     
E-Mail Address:  
     
Course Name:  
     Example: Art Stu 150 Advanced Painting
     
Course Number:  
     Example: 10560
     
Type of Course:   Lecture
    Discussion
    Lab
    Seminar
    Studio
    Other:
     
Day(s) Class Meets:   Monday
    Tuesday
    Wednesday
    Thursday
    Friday
     
Time Class Meets:  
     
Location of Class:  
     
Building Name:  
     
Room Number:  
     
Teaching Status:   Professor
    Lecturer
    Guest Lecturer
    PF Candidate
    Teaching Associate
    Teaching Assistant
    Other:
     
Will you be submitting midterm
evaluations to the TLTC?		   Yes
No
     
     If yes, remember that you need to click the
 "submit to TLTC consultant" button at the end
 of your midterm evaluation results
     
Approximate number of students
who regularly attend class:		  
     
Service(s) Requested:   Videotaping and Consultation
    Consultation Only
    Class Observation and Consultation
     
Do you have any special
circumstances or requests?		  
     
Times available for
consultation meeting:		  
M Tu W Th F  
 8:00-9:30 AM
 10:00-11:30 AM
 1:00-2:30 PM
 3:00-4:30 PM
 5:00-6:30 PM
 Other: 
     
Are you using our services as part of
a department or class requirement?		   Yes
No
     
Is this a Social Sciences 399 requirement?   Yes
    No