Faculty Course Information Form Please provide the following information to enable us to schedule your Blount course. NB: If you are teaching more than one course, you should submit a separate survey response for each. Last Name* First Name* CWID* UA Email Address* Personal phone (for emergency contact only; will not be given to students)*UA PhonePlease upload current CV*Max. file size: 5 MB.Course* BUI 101 (Fall Foundations) BUI 102 (Spring Foundations) BUI 301 (Thematic Seminar) BUI 399 (Internship) BUI 401 (Worldviews) Course Title (301 Seminars & 399 Internships Only) Course Description (301 Seminars & 399 Internships Only)Will the course require multimedia access?* No Yes Teaching Days* MW TR MWF Note: MW courses must begin after 3 pm. Single-day teaching requests require the permission of the director. Bids must be predicated on a content rationale (such as film, or field trips).Please specify three *discrete* time preferences.Teaching Time (First Preference)* Teaching Time (Second Preference)* Teaching Time (Third Preference)* Have you ever taught for Blount before? Yes No Please identify your current UA status* Tenure Track Full-Time Instructor (annual or multi-year contract) Part-Time Instructor? (semester contract) Regular Full-Time Staff or Full-Time Staff on grant or renewable contract Part-Time Staff Emeritus Other Other* Home Department If you are full time teaching faculty (FTI, RC, TT) will you be teaching the course in or out of load?* In Load - as part of my ordinary course load Out of Load - in addition to my ordinary course load N/A - I am not full-time UA faculty If you are full time teaching faculty OR if you work in any type of staff position at UA, please indicate your home department (History, ChemE, etc.).* Δ