Request For Dialogues

IMPORTANT NOTES:  The Instructor must be present during the dialogue to ensure the conversation is integrated into the class.  Please limit request to no more than two dialogues per instructor per semester.
 
If you don't have all of the information to complete this form, please contact us to finish your request: pilar.prostko@colorado.edu
 
Please allow 3-4 weeks to prepare for dialogue after request is submitted.
Indicates required field
Reasons for dialogue request: (mark all that apply)
 
 
 
 
 
There are various ways to prepare students for a classroom dialogue. What kind of pre-dialogue preparation do you plan to provide? Please select all that apply.
 
 
 
 
 
Would you like assistance in planning to integrate the dialogue in your class?
 
 
There are various ways to follow up after a classroom dialogue. What kind of follow-up do you plan to provide after the dialogue? Please mark all that apply.
 
 
 
Would you like assistance in creating follow-up materials to use in your class after the dialogue?
 
 
Would you like any other form of assistance or to meet with the CU Dialogues Program Coordinator/Facilitator before setting up a dialogue for your class?
 
 
Are interpreter services requested for this Dialogue?