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iClicker Request Form  

University of Wisconsin-Eau Claire
i-Clicker Request Form

Please enter the following information to request a Student Response System in your classroom.

Your Name:

Department:

Email:

Office phone number:

Course information:

Semester:

Course #1:
Section #1:
Room #1:
Number of students in course #1:

Course #2:
Section #2:
Room #2:
Number of students in course #2:

Course #3:
Section #3:
Room #3:
Number of students in course #3:

Are you interested in a short tutorial on clicker use?

Comments:

Thank you!

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