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Pilot Program Sign Up Form

Full NameEmailTitleCollege/UniversitySchool (i.e. School of Business)

Class #1Class TitleNumber of StudentsDelivery Style (classwork or homework)Date

Class #2Class TitleNumber of StudentsDelivery of PreferencePilot Run Date

Class #3Class TitleNumber of StudentsDelivery of PreferencePilot Run Date

Class #4Class TitleNumber of StudentsDelivery of PreferencePilot Run Date

Class #5Class TitleNumber of StudentsDelivery of PreferencePilot Run Date

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