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*First Name

*Last Name

*Email Address

*Department

*Faculty Rank

Please Select Lecturer Instructor Professor of Practice Assistant Professor Associate Professor Professor

*How do you plan to incorporate Learning Assistants (LAs) in your course?

See link on this page to learn more.

*Fall Projected Undergraduate Course #1

Projected Fall UG Enrollment Course #1

5-25

26-50

51-100

>100

Fall Projected Undergraduate Course #2 (if applicable)

Projected Fall UG Enrollment Course #2 (if applicable)

5-25

26-50

51-100

>100

Fall Projected Undergraduate Course #3 (if applicable)

Projected Fall UG Enrollment Course #3 (if applicable)

5-25

26-50

51-100

>100

*Spring Projected Undergraduate Course #1

Projected Spring UG Enrollment Course #1

5-25

26-50

51-100

>100

Spring Projected Undergraduate Course #2

Projected Spring UG Enrollment Course #2

5-25

26-50

51-100

>100

Spring Projected Undergraduate Course #3

Projected Spring UG Enrollment Course #3

5-25

26-50

51-100

>100

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