Please submit this report to Dorene Perez or Rosie Lynch before the start of final exams in the semester you presented/hosted the modules. Make copies of this report and attach as needed.
Name _________________________ Semester ____________ Year ________
List below all of the NEW modules you presented during the semester.
Module topic ______________________________ Date ___________
Host instructor _____________________________
Module topic ______________________________ Date ___________
Host instructor _____________________________
Module topic ______________________________ Date ___________
Host instructor _____________________________
Module topic ______________________________ Date ___________
Host instructor _____________________________
List below all of the HIGH PREPARATION REPEAT modules you presented during the semester
1. Module topic ______________________________ Date ___________
Host instructor _____________________________
2. Module topic ______________________________ Date ___________
Host instructor _____________________________
3. Module topic ______________________________ Date ___________
Host instructor _____________________________
4. Module topic ______________________________ Date ___________
Host instructor _____________________________
List below all of the REPEAT modules you presented during the semester:
1. Module topic ______________________________ Date ___________
Host instructor _____________________________
2. Module topic ______________________________ Date ___________
Host instructor _____________________________
3. Module topic ______________________________ Date ___________
Host instructor _____________________________
4. Module topic ______________________________ Date ___________
Host instructor _____________________________
List below all of the EXCHANGES you participated in during the semester:
1. Module topic ______________________________ Date ___________
Other instructor _____________________________
2. Module topic ______________________________ Date ___________
Other instructor _____________________________
List below all of the modules you HOSTED during the semester:
1. Module topic ______________________________ Date ___________
Presenting instructor ________________________
Did you participate in presenting the module? ______ yes
2. Module topic ______________________________ Date ___________
Presenting instructor ________________________
Did you participate in presenting the module? ______ yes
3. Module topic ______________________________ Date ___________
Presenting instructor ________________________
Did you participate in presenting the module? ______ yes
4. Module topic ______________________________ Date ___________
Presenting instructor ________________________
Did you participate in presenting the module? ______ yes
5. Module topic ______________________________ Date ___________
Presenting instructor ________________________
Did you participate in presenting the module? ______ yes