Classroom Talk Request

Scheduling Request

Name:

Email:

Phone:

Office Hours:

I am a:

The Old Master I am interested in scheduling:

*
(please provide name(s), or type "Any Available")

The title of my class or event:

*
(Example: "SOC 100 - Introductory Sociology" OR "Society of Women in Engineering Reception")

My class/event meets on:

*
(Day of the week)

My class/event begins:

*
(Start Time)

My class/event ends:

*
(End Time)

The location of my class/event:

Special notes about my class/event:

(please include any special notes, such as if you would like more than one Old Master, if you have a second choice, if refreshments will be provided, and anything else that may aid the student schedulers.)

What letter is bold in this sentence?

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Required fields are indicated by an asterisk (*)

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