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STIA Registration Form

Register for STIA

First Name:
Last Name:
Department:
Email Address:
Home Phone Number:
Name of the Course You are Teaching:
Session Your Course Will Be Taught: Session A
Session B
Session C
Session D
Session E
Session F
Number of Quarters You have been a TA:
Number of Quarters You have been an Associate or Lecturer:
Number of Quarters You have had Other Teaching Experience:
CCUT Candidate*: Yes
No
*CCUT - Certificate in College and University Teaching, See: http://oic.id.ucsb.edu/creating-teaching-portfolio-certificate-college-university-teaching

consultation contacts

George Michaelsexecutive director2130 Kerr Hall
work805-893-2378
lisa berrysenior instructional consultant1130 Kerr Hall
work805-893-8395
mindy colininstructional consultant1130 Kerr Hall
work805-893-2828
Mary Lou Ramos database and ESCI administrator1130 Kerr Hall
work805-893-3523
Aisha Wedlaw ESCI assistant1124 Kerr Hall
work805-893-4278
Breana Barakoffice manager 1130 Kerr Hall
work805-893-2972
faxfax: 805-893-5915