Intent to Teach Form - FAO UNC Eshelman School of Pharmacy

UNC Eshelman School of Pharmacy

Each semester the registrar must collect specific information for courses that faculty intend to offer so a course schedule can be developed and courses can be updated in ConnectCarolina for course registration. Complete the following form for each required and elective PharmD and graduate courses that you plan to offer next semester.

Note: Where possible, PharmD electives should be scheduled on Tuesdays and/or Thursdays to avoid conflict with required courses.

Semester and Year*

Example: Spring 2013

Course Prefix*

Example: PHCY

Course Number*

Example: 465

Course Title*

Example: Basic Pharmaceutics

Significant Changes

Please describe any significant changes in the course since the last time it was offered including: a) change in course director; b) major changes to course content; c) changes in how content is delivered or requirements outside the classroom, including amount and type of content and expectations of students in preparing for class; d) changes in how teaching and learning takes place in the classroom; and, e) changes in assessment and evaluation strategies (e.g., quizzes, exams, projects).

Course Director Name*

Course Director E-mail*

Additional Instructors to be Listed in ConnectCarolina

Course Type*

Check all that apply.

PharmD Required
PharmD Elective
Graduate Required
Graduate Elective
Graduate and PharmD Elective

Credit Hours*

Minimum Enrollment Capacity - Chapel Hill Campus*

(In general there is no minimum for the Asheville campus unless group work is required. In such cases the minimum will be 2.)

Maximum Enrollment Capacity - Chapel Hill Campus*

maximum Enrollment Capacity - Asheville Campus*

Does this course use VTC? If so, where?*

Check all that apply.

Yes, Asheville
Yes, Chapel Hill
Yes, Other location (specify below)
No, this course does not use VTC

If you selected "Yes, other location" above, specify location here

Room Preference

This does not guarantee you will be assigned that room

Class Day/Time Restrictions*

Please list the days and times when you are unavailable due to other University commitments.

Class Schedule Preferences

Length of Class Meetings

50 minute blocks
80 minute blocks (1 hr 20 min)
110 minute blocks (1 hr 50 min)
140 minute blocks (2 hr 20 min)
170 minute blocks (2 hr 50 min)
Other (specify below)

If Other, please specify

Frequency of Class Meetings*

1 meeting per week
2 meetings per week
Other (specify below)

If Other, please specify

Day Preference*

Check all that apply

Monday
Tuesday
Wednesday
Thursday
Friday
No Preference

Time Preference*

Morning
Afternoon
Evening
No Preference

Any Other Considerations