Fillable MC Room Change Request Form (Mission College)

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MC Room Change Request Form (Mission College)

On average this form takes 7 minutes to complete

The MC Room Change Request Form (Mission College) form is 1 page long and contains:

  • 2 signatures
  • 0 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Mission College

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MC Room Change Request Form
Please put an
X in the appropriate field
• Room too hot/cold
*: ……………………………………………………………………… _____
• Computer and/or projector not working
*: …………………………………….. _____
• Room too small for amount of students enrolled: …………………………. _____
• Room too big for amount of students enrolled: …………………………..… _____
• I need a Computer Lab: ……………………………………………………………….... _____
• Room too noisy due to construction: ………………………………………..…… _____
*(It’s the responsibility of the originating instructor to submit a Facilities or ETS Work Order to have the problem(s)
fixed)
Your current section details
• Your printed name & signature: ______________________________________________________
• Course Name (e.g., ACC-001A): _______________________________________________________
• Course CRN (aka: Section Number): ___________________________________________________
• Your current classroom location (Building & Classroom): __________________________________
For the classroom you would like to move to. Is the room currently occupied? __________
• If occupied: Have you talked with the instructor to arrange a classroom swap?* __________
o *Please fill out the information of the swapping instructor (only if swapping rooms).
• Swapping instructor’s name: ______________________________________________________
• Course Name (e.g., ACC-001A): _________________________________________________
• Course CRN (aka: Section Number): ______________________________________________
• Location of other instructor’s classroom (Building & Classroom): _____________________________
• Will the Instructor use your current room, or will she/he need a new classroom? ________________
__________________________________________________________________________________
This form will need your Division Dean’s approval
Dean’s Printed Name: _______________________________________________________________________
Dean’s Signature: ___________________________________________________________________________
Date: ____________________
For Office of Instruction use only
Staff member’s name: ________________________________________________________________________
Date: ____________________
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MC Room Change Request Form (Mission College)

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Completed 5 September 2020

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