Contact Information

First name: Last Name:

E-mail address: Phone number:

Are you an instructor at the University of Maryland?

Yes
No

If you answered "No," at what institution do you teach? (Skip this part if you answered "yes")

Institution name:

Your Address at the Institution:
Line 1:
Line 2:
City: State: Zip code:

Professional Information

Department in which you teach:
Title that you hold in department: Graduate Assistant Instructor Associate Professor Assistant Professor Professor

Course Information

Name of Course:

Course Number:

How many semesters/quarters have you taught this course?

Are you submitting a new syllabus or updating an old one?
Submitting a new one
Updating an old one

When will this course be taught?
Which semester/quarter? Spring Summer Fall Winter
What year?

To which primary diversity issue(s) is your course related?

To which academic discipline is your course related?

Enter a brief one-sentence abstract describing your syllabus that will be displayed on the web menu. Include your name and institution. E.g. "Professor Peter d'Errico, a law professor at U of Mass., provides this sample syllabus of his class on the legalization of American Indians."

Enter your syllabus by cutting it from your word processor and pasting it into the space provided below.