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Clicker Use Request Form

Please complete this form if you plan to use the TurningPoint clickers (student response system) during an upcoming quarter (term). We need this information to purchase and install the equipment you and your students will need. Complete this form once for each course wherein you plan to use clickers. Thank you.

First Name:

Last Name:

Phone:

Email:

Term that Clicker is needed:

Course Info:

Course Title:

Course ID:

Classroom Bldg. and Room Number:

Course meeting days and times (ie. MWF 2:10 – 3:00) :

Estimated student enrollment:

I would like to schedule a 1-hour session to learn how to use clickers: