Undergraduate Instruction Feedback This form is designed for students to express concerns they have regarding a faculty member's instruction. Please be aware all of the information in this form will be sent to the Director of Undergraduate Studies (Dr. Debra Mascaro) and the Associate Department Chair for Students (Dr. Shad Roundy) and the Academic Advising Coordinator for the Mechanical Engineering Department (Morgan Sriphong-Ngarm). The information will not be shared with the instructor unless specifically requested. Name * uID * Is it ok if the Associate Chair Faculty contacts you to follow up on this feedback? * Yes No Email Address * ME EN course this feedback is regarding * Instructor's Name * What are your specific concerns with the instruction of this course? * What is your desired outcome? * Is it OK if the information in the two questions above is anonymously shared with the instructor? Yes No On a scale of 1-10, how significantly is this issue impacting your ability to be successful in this course? 12345678910 Please include the names of other students (if any) who have added their input to this form submission If you are human, leave this field blank. Δ
