Class Visit Request Form

Name*
First Last
Email*
Course Name and Number*

(e.g. WRTG 150)
Course Location*

(e.g. 1127 JKB)
Course Days and Times*

(e.g. MWF 12-12:50pm)
Number of Students*
Student Demographics (Check all that apply)*
- First-year
- Sophomore
- Junior
- Senior
- Graduate
Date of Requested Visit*
YYYY dot MM dot DD
Method of Class Visit: Choose One*
- In-Person
- Virtual (Zoom or Prerecording)
Other relevant information
This can be information related to the course or the student demographics.
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