Orientation Registration Form

First Name
 		Last Name 
Department 
Chair
 		Cougar ID*
If you do not have one, please see Chair for ID.

Name of person offering teaching assignment
First Name 
Last Name 

Name of course(s) to be taught:
Course 1   
Course 2 
Daytime phone number 
*Email address 
Date and time of orientation to be attended 


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