Please fill in Faculty Intake Form You must have JavaScript enabled to use this form. 1 Start 2 Page 2 3 Page 3 4 Preview 5 Complete 1. Name * 2. CSUID * 3. Email * 4. Phone Number * 5. Preferred Method of Contact * Email Text Call 6. Devices Available for Use * Tablet Phone PC Laptop Printer 7. Programs/Applications Used/Approved * Microsoft Office (Word, Excel, PowerPoint) Google Classroom YouTube Other Software... 7. Programs/Applications Used/Approved Other Software... 8. Programming Format In-Person Remote Hybrid Other... 8. Programming Format Other... 9. Choose the Supervised Day of Your Enrolled CSU Course * Sunday Monday Tuesday Wednesday Thursday Friday Saturday 10. Choose Supervision Time for your Enrolled CSU Course * Please specify start and end of class time. Leave this field blank
