Updated 10/14/2011 Completion of Teaching Experience for PhD Program Student Name: Advisor: Semester Requirement Completed1: Course Taught: Professor for Course: Number of Lectures Given/Planned2: Number of Labs Given/Planned/Graded2: Number of Assignments Written and/or Graded3: Additional Class Time (Details): ______________________________________ (Examples: gave and/or proctored exams, quizzes, ______________________________________ held additional office hours) ______________________________________ ______________________________________ Course Materials/Content Taught: ______________________________________ (General description of the material ______________________________________ taught during the experience) ______________________________________ ______________________________________ Additional Comments: ______________________________________ ______________________________________ ______________________________________ ______________________________________ This form is to state that ______________________________ has satisfactorily completed the Practical Teaching criteria required for the PhD program in the Department of Geophysics. _________________________________ Approved, Course Professor 1 __________________________________ Approved, GAC Chair Experience must take place within a single semester. Student shall be responsible for planning/delivering a minimum of 6 lecture hours, or 4 lecture hours and 2 labs, to meet requirement. 3 Creating and/or grading assignments is recommended but should be at the discretion of the supervising faculty member, based on the format of the course. 2