Faculty Request Form IDEA Summary Report

If you need this request prior to two (2) weeks, please contact the Accountability Office, 942-2259.

Please provide the following information.

All fields marked with asterisk (*) are required.

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Name:*

(as you wish it to appear in your materials)

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Your current title:*

(example: Assistant Professor of English)

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Main Department:*

(example: English and Modern Languages)

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Time Frame:*

(These are the semesters to include; example: fall 2008 - spring 2013)

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Include Summer?*

Please check

Yes

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Additional departments you teach in:*

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Have you requested a Summary in the past?*

Yes

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Names that could be on original IDEA reports:

(example of last name: Jones until 2008, Smith after 2008) or (example of first name: started using Leeann in 2009, was Mary L)

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Classes, were they:

Indicate all that are appropriate.

On campus

On line

Blended

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Date report needed.*

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Other information to help us find your records:

(e.g., anomalies or team-taught classes)

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Email address

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Reason for Request*

Link (required)