Natural Hazards: Causes and Effects - Disaster Management Center ...

Natural Hazards: Causes and Effects - Disaster Management Center ... Natural Hazards: Causes and Effects - Disaster Management Center ...

dmc.engr.wisc.edu
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Natural Hazards: Causes and Effects Course Evaluation This information will be used to improve the course for other students. Thank you for taking a moment to complete this form and return to: UW-DMC, 432 North Lake St., Madison, Wisconsin, 53706, U.S.A. Date you finished the course: _________________________________________________ What is your present position? ________________________________________________ How many years have you spent in disaster-related work? _______________________ How many years of formal education do you have? � 0 to 6 years � 7 to 12 years � 12 to 16 years � more than 16 years How was the content level of this course? � too difficult � about right � too easy Was the course material relevant to your work? � yes � no How useful were the self-assessment tests to you? � very useful � OK � not useful How valuable was the total course? � very valuable � of some value � not valuable Additional comments: ________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Please copy and return this form by mail or fax, or send the information via e-mail to: University of Wisconsin–Disaster Management Center 432 Lake Street Madison, Wisconsin 53706, USA Fax: 1-608-263-3160 E-mail: dmc@engr.wisc.edu

Disaster Management Center University of Wisconsin-Madison Examination Request Form This exam must be proctored (supervised) just as it would be for a course taken on campus. Generally, proctors do not charge for this service. In all cases the academic department offering the course must approve the choice of proctor. Qualified proctors include university or college registrars, deans or counselors or professors; high school principals or counselors; directors of educational services at universities, other educational organizations, correctional institutions or the armed services; certified librarians in a supervisory position; or the delegated officials at university testing centers. Students residing outside of the United States may also request, as their proctor, a local director of educational services or an officer of the United States embassy or consulate. Please copy this form as needed. Date Submitted ________________________________________________________________ Course Title ________________________________________________________________ Student Information: Name ________________________________________________________________ Mailing Address ________________________________________________________________ Proctor Information: ________________________________________________________________ ________________________________________________________________ Name ________________________________________________________________ Title ________________________________________________________________ Organization ________________________________________________________________ Complete Mailing Address (Please provide street address, in case courier service is used.) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Phone Number OR Email Address ________________________________________________________________ Please return this form by mail or fax, or send the information via e-mail to: University of Wisconsin–Disaster Management Center 432 Lake Street Madison, Wisconsin 53706, USA Fax: 1-608-263-3160 E-mail: dmc@engr.wisc.edu

<strong>Disaster</strong> <strong>Management</strong> <strong>Center</strong><br />

University of Wisconsin-Madison<br />

Examination Request Form<br />

This exam must be proctored (supervised) just as it would be for a course taken on campus. Generally,<br />

proctors do not charge for this service. In all cases the academic department offering the course must<br />

approve the choice of proctor. Qualified proctors include university or college registrars, deans or counselors<br />

or professors; high school principals or counselors; directors of educational services at universities, other<br />

educational organizations, correctional institutions or the armed services; certified librarians in a supervisory<br />

position; or the delegated officials at university testing centers. Students residing outside of the United States<br />

may also request, as their proctor, a local director of educational services or an officer of the United States<br />

embassy or consulate. Please copy this form as needed.<br />

Date Submitted ________________________________________________________________<br />

Course Title ________________________________________________________________<br />

Student Information:<br />

Name ________________________________________________________________<br />

Mailing Address ________________________________________________________________<br />

Proctor Information:<br />

________________________________________________________________<br />

________________________________________________________________<br />

Name ________________________________________________________________<br />

Title ________________________________________________________________<br />

Organization ________________________________________________________________<br />

Complete Mailing Address (Please provide street address, in case courier service is used.)<br />

________________________________________________________________<br />

________________________________________________________________<br />

________________________________________________________________<br />

Phone Number OR<br />

Email Address ________________________________________________________________<br />

Please return this form by mail or fax, or send the information via e-mail to:<br />

University of Wisconsin–<strong>Disaster</strong> <strong>Management</strong> <strong>Center</strong><br />

432 Lake Street<br />

Madison, Wisconsin 53706, USA<br />

Fax: 1-608-263-3160 E-mail: dmc@engr.wisc.edu

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