SDSU Clicker Interest Form

This form is FOR INSTRUCTORS ONLY.

1. Please provide your contact information.

First Name Required Question

Required Question

Last Name

Required Question

Department Name Required Question

Required Question

University Name Required Question

Required Question

Ship To Address Required Question

Required Question

City

Required Question

State

Required Question

Zip Code

Required Question

Email Address Required Question

Required Question

Phone Number Required Question

Required Question

2. Course Information

Course Name

Course Start Date

Total Number of Sections

Total Students in All Sections

Computer Platform(s):

MacPC

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