LAGUARDIA COMMUNITY COLLEGE / CUNY
STUDENT TECHNOLOGY MENTOR REQUEST FORM
Faculty Name:
*Required
Email Address:
*Required
Department:
Room Number:
Phone Number:
Semester:
Select
Spring I
Spring II
Fall I
Fall II
*Required
Starting Date:
Ending Date:
Please indicate the Day(s) and Time the services of the STM will be needed and include room number.
Date
Time
Room Number
Choice
Monday
From
to
Select
First
Second
Third
Tuesday
From
to
Select
First
Second
Third
Wednesday
From
to
Select
First
Second
Third
Thursday
From
to
Select
First
Second
Third
Friday
From
to
Select
First
Second
Third
Saturday
From
to
Select
First
Second
Third
Please specify if it is a
faculty project
or
class period(s):
Class Period
Faculty Project
Please describe the project and the technology resources that will be used ( software, hardware ). Describe the tasks that the STM will be required to complete.
Project or Course Name/Title:
Project or Course Description and STM Tasks:
Please specify what the STM will be doing.
List Technology Resources to be used:
Blackboard
ePortfolio
Movie Maker
Video Camera
Digital Camera
MS Word
MS PowerPoint
MS Excell
Dreamweaver
Fireworks/Photoshop
Flash Animation
You can select more than one technology by holding the "Ctrl" key down while selecting.
Additional Information: