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King Fahd University of Petroleum and Minerals
DEANSHIP OF ACADEMIC DEVELOPMENT
Teaching & Learning Centre (TLC)

Peer Consultation in Teaching Program
 Application form

Faculty members who would like to receive the Peer Consultation service are requested to complete the following application form. Application forms can be submitted through the web, e-mail or as a hard copy.

1) Faculty Member Name
 

2) Academic Rank

 

3) Academic Department

 

e-mail address
 

Phone Number:
   
4) Course Information:
Fill a row in the following table for each course that you would like to be visited by a peer.
Course # Course Title Weekdays Time Location # of Students
 

5) Do you have any specific preference regarding the choice of the peer-consultant who will visit your class? If Yes please write your comments below:

6) Have you participated in this activity (or similar) before?

        


7) Are you familiar with the peer consultation process?

         


8) Please choose an option of service that you want to be offered during the class visit: (The DAD highly recommends using both valuable services).

        

                

 

Before pressing the Submit button please make sure that all data you entered is correct including your e-mail address. The e-mail address you entered will be used to communicate with you.