Collaboration Request

Only complete this form if you are collaborating with a colleague. Please submit one form per group. Make sure to submit PRIOR to collaborating and submitting your coursework.

You will receive a response regarding your request within three business days!

Questions? Please email instructor@teachingchannel.com

First name*

Last name*

Email*

Course Number:*

Term:*

Spring

Summer

Fall

12-Month Term

Please list the names of those with whom you plan to collaborate (4 maximum):*

You may select up to two applications to collaborate on. Please list the Modules and the Application numbers here:*

Briefly describe your rationale for collaborating on the application(s):*

Provide any additional information to clarify your collaboration plan: