Evaluations Request – School of Government Forms

Program Manager Name(Required)

First Last

Email Address(Required)

Enter Email Confirm Email

Program Title(Required)

Cost Code(Required)

Start Date(Required)

First day of course

End Date(Required)

Last day of course

Start Time

End Time

Additional Dates/Times

Lead Faculty Name(Required)

First Last

Cc on Evaluation Reports

Final program evaluation reports are distributed to the lead faculty, program manager, and program director. If anyone else should be copied on these emails, such as an EI director, enter their names here.

Agenda Details

Please send a highlighted agenda noting the sessions and presenters to be included on the evaluation to receptionist@sog.unc.edu after submitting this form (due to file uploads no longer being allowed for web forms due to security risks). Alternatively, list each session and presenter to be included on the evaluation above.

Team Teaching: Is this is an online training that will include unstructured team teaching and should only evaluate instructors as a group?

Note: Checking this option indicates there is no agenda or highlighted instructors that need to be submitted

Yes

Notes (e.g. additional questions to send out via a supplemental survey)

This field is for validation purposes and should be left unchanged.