FACET/ILTE Peer Review Request Form
Requestor Information: (required for all peer reviews, any type)
Name:
Phone Number:
School:
Course to be reviewed:
Day / time taught:
Location
Semester:
General Education Course:
NA Yes
Gen Ed Goal(s) being met
Teaching modality
Face-to-face Hybrid Online Distance Flipped
Type of Review:
General Formative General Summative Student Focus Group Teaching Consultation
Topical Formative Topic to be reviewed
Other: Please Describe
Send a copy of the report to (optional)
Additional comments or information you would like to provide:
(Helpful information to include: (this is for third-year, FACET or required school review)
Mail to:
ILTE
Library 219
FOR ILTE USE ONLY
Semester assigned_______________ Semester to be completed_______________
Reviewer Assigned:_______________________________________________________
Date:_________ Entered_______________________________________________
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