Peer Observation Form Request

Peer Observation Form Request

Your Name*

Your Department*

Your Title*

Your Email*

Observation Type*

Please select type of observation you're requesting:

Read about each observation type here: https://intranet.dellmed.utexas.edu/public/faculty-development

Select or enter value

Observer Preference*

If you have a preference as to who you would like to lead your observation please select them below. (Note: just because you select them as your preference does not mean that they will be able to lead your observation but we will try.)

Select or enter value

Your Availability*

Please provide at least 3 days and times you are available for an observation. The Academy Manager will then connect you with an Academy Member to schedule the observation within 48 business hours.

Send me a copy of my responses

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