UNDERGRADUATE
TEACHING EXPERIENCE
Term:
□ Fall
Student Name:
Email:
Phone:
PeopleSoft#:
□ Spring
of 20___
Course
□ NROSCI 1097
□ NROSCI 1097
Grade Option
□ S/NG Only
2 CREDITS □ Letter Grade
1 CREDIT
Name of Course:
Faculty Mentor Name: (please print)
Instructions/ Comments:
Required Signatures
I agree to be engaged in my teaching responsibilities, to adhere to the scheduled hours and to seek assistance from
my mentor as needed.
Student Signature:
Date:
I agree to mentor the above student by assigning a project and checking progress throughout the term.
Faculty Mentor Signature:
Date:
Return completed form to the Neuroscience Advising Office (LANGY 206) for processing.
02/18/10