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First and Last Name
Email address
Session date & Time
Course Name or Number (Please note: only sessions in UK College of Medicine are able to be observed at this time)
Do you have any requests regarding the observation? (Specific areas of focus, questions to help answer, or other concerns)
A peer observer will discuss your session with you within a week of the session. Please list some dates/times of your availability within the week after your session.
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ITS Customer Services
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Customer Services Assistance Request Form
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