EmailMe Form - 2016-17 CWiC Teaching Fellowship Department Agreem

Applicant Name *

Department Name *

Department Chair Name *

Department Chair Email *

Please verify that the home department will agree to and be responsible for each of the following *

rostering the 00x, 100 or 200 level course

as a seminar capped at 16

listed as a CWiC course for fall and spring semesters

open to all undergraduates

promoting the course to its list of majors