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PART-TIME FACULTY REQUEST FORM

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Semester Year
First Name (required)
Request of Courses:
Last Name (required)
E-mail address
Are you interested in teaching this semester? YES NO

Number of classes

1 2
Preferred teaching day(s)
Would you like to teach a third class if it is available?
YES NO
Preferred teaching time(s)  
Do you teach courses in another discipline/ division at Oakton? If so, please list them below:

 
Preferred campus and days and times
NOT available (comment please):