Implementation Programs Course Setup Form

Please provide the following information about the course for which you will be pilot testing InTeGrate materials. This information will help us support your piloting and data collection.

Full name

Email

Institution

Department


Course Name (e.g. Earth Science 101: Introductory to Earth Science)

Number of enrolled students


Course level

Choose the Course Focus most appropriate to your course:
If other, what is the focus? (e.g. environmental studies, environmental justice in a social science course)

Course schedule

Click on the text box to get a date selector.

Date of first day of course:

Date of last day of course:

Anticipated start date for teaching InTeGrate materials (only if piloting InTeGrate material):

Anticipated end date for teaching InTeGrate materials (only if piloting InTeGrate material):