University of Arizona

LENS Class Request Form

LENS Class Request Form

Primary Contact Information

Name
Name
First Name
Last Name

Institution Information

Institution
Are you working with a co-instructor, organizer, assistant, etc., who should also receive communication about this request?

Additional Contact Information

Name
Name
First Name
Last Name
Have you already been collaborating on this session with a CCP staff member?
Name of CCP Staff Member
Name of CCP Staff Member
First Name
Last Name

Class Information

Please fill out one form for each unique course. Multiple sections and/or multiple engagements for the same course are addressed in the Class Logistics section, below.
Semester for this request
Would you like this session to be held in-person or virtually?
Tucson is in Mountain Standard Time year-round.

Activities & Experiences

Which activities and experiences are you interested in for your class?
Which CCP resources would you like to engage with?
Please select all that apply. If your class/event will only be visiting once for a short session, please only pick one.
Which language would you like your engagement in?
What are you and/or your students hoping to learn or explore during this visit? Please include any specific artists, techniques, or topics you might want to feature.

Class Logistics

How many times do you want this class to meet with CCP this semester?
How many sections of this course are there?

Engagement Information

Ideally, please request class engagements at least three weeks in advance.

CCP is usually open to the public from 9:00 a.m. until 4:30 p.m. We prefer to schedule classes during these times, but exceptions are possible.

Engagement One

Section 1, Engagement 1

Section 1

Please include co-instructors, preceptors, etc.
Preferred Start Time
Preferred End Time
Second Choice Start Time
Second Choice End Time

Engagement Two

Section 2, Engagement 1

Section 2

Please include co-instructors, preceptors, etc.
Preferred Start Time
Preferred End Time
Second Choice Start Time
Second Choice End Time

Engagement Three

Section 1, Engagement 2

Please include co-instructors, preceptors, etc.
Preferred Start Time
Preferred End Time
Second Choice Start Time
Second Choice End Time

Engagement Four

Section 2, Engagement 2

Please include co-instructors, preceptors, etc.
Preferred Start Time
Preferred End Time
Second Choice Start Time
Second Choice End Time