Instructor Name:

Campus phone:

Campus e-mail:

Course Title:

Time/day/location of course meetings:

Dates that would not be good for a visit (e.g. dates of exams or films):

Please describe your goals for the class visit. In other words, what in particular would you like the evaluator to watch and provide feedback about?

Use this space to provide any background that you would like the evaluator to have about the course before the visit. You are encouraged to take the Teaching Perspectives Inventory so that your Peer Evaluator bases observations on the teaching approaches important to you. If you have taken the TPI, please enter your dominant perspectives here.