eLS@CU Consulation Service Request Form

eLearning Service at CU (eLS@CU)
Consultation Service Request Form

eLearning Clinic provides you with consultation services and hands-on support from both pedagogical and technical points of view. Our team is keen to assist you in utilizing technology to meet the University's mission of excellence in teaching and learning.

To make an appointment in the eLearning Clinic, you only need to fill in the form below. Our staff will contact you shortly to confirm details of the appointment. See you soon.

1. Your Information

First Name:

Last Name:

Email:

Phone:

Department:

Please select from the following which best describe your role:

Teacher Teaching Assistant Supporting Staff

2. Your Request(s)

Please tick below which service(s) you would like to request. You can select more than one:

You are new to eLearning and you would like to know how to integrate eLearning into your course.

You already have a course website and would like us to suggest enhancements from both pedagogical and technical points of view.

COURSE CODE:

COURSE URL: http://

Guest Account: (if required)

Guest Password: (if required)

You have a patricular problem/mission which you would like assistance in solving/achieving. Please write a brief description in the following space.

3. Your Appointment

You would like to reserve a consultation time at the eLearning clinic on the coming Friday at which of the following time slot?(You can select more than one time slot)

10:00am to 10:20am
10:20am to 10:40am
10:40am to 11:00am
11:00am to 11:20am
11:20am to 11:40am
11:40am to 12:00pm

eLearning Service at CU (eLS@CU)Consultation Service Request Form

eLearning Service at CU (eLS@CU)
Consultation Service Request Form