GSMemo 14 Form C

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Graduate School Memorandum No. 14 (January 2000)

Attachment C
Possible Template for Department Verification Reports

Purpose: To enhance communication between TAs and departments about departmental supervision of teaching, and to provide the Graduate School with verification that this communication has taken place.

Department: ____________________________________________________________

Quarter/Year: ____________________________________________________________

A TA name:	B Observation date(s):	C Follow-up date(s):	D Observed by:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

A = name of TA
B = date(s) that TA was observed by supervising faculty
C = date(s) of follow-up meeting(s) with TA to discuss observation(s)
D = person observing and providing feedback to the TA

Person completing this form:

Name: _________________________________________________________________

Faculty Coordinator_____ Other_____

Date forwarded to Dean of the Graduate School:____________

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