1.	What is your name?*

2.	What is your department?*

3.	What is your e-mail address and telephone extension?

4.	Is this a request for a SPOT summary report?
	Yes No

5.	If "YES," select one choice from the dropdown menu.
	--None--reappointment, promotion, tenure (5 semesters)post-tenure review (5 years)Chancellor's Teaching Award (3 years)Board of Governor's Teaching Award (2 years)Special Request

6.	If Special Request for a SPOT summary report, please explain:

7.	What is your request (if not for a SPOT summary report)?