Timetable Office: Additional Activity Request Form 2017-18

Module code: / Activity Number:

Timetable Office: Additional Activity Request Form 2017-18

This form is designed to collect central timetabling information for activities other than lectures. For long-thin modules, please complete a separate form for Semester 1 and Semester 2 (e.g. one form for AC11000 and a second form for AC11020).

How many different additional activities does each student attend? (Please asterisk* or circle as appropriate.)

1 2 3 4 5

Please complete the following information for each activity, using a new form for each.

Module/activity details:

Activity Number / Module code: / Semester (enter 1 OR 2) / Estimated module enrolment

Activity class size information

Class size / Y/N / Reason/Details
Other than room size, is there an activity size limit? If yes, please enter a value and give details:
Are students randomly allocated to groups? If No, please provide details:

Duration and activity type

Please enter the activity duration:

Duration (hrs):

Please select one of the following options:

Activity type / Selection / Activity Type / Selection / Activity Type / Selection
Lecture / Workshop / Grammar
Seminar / Field Trip / Listening
Practical / Viewing / Oral
Tutorial / Misc: / Translation

Location requirements

Location type / Selection / Selection
Teaching room (with data projector) / No location required
Seminar room (flexible seating with data projector) / Synergy room
Computer room / Other:

Teaching Staff Information

Please only list staff who will deliver this activity. Please do not list guest speakers.

Staff member / Staff name / Staff email ID
Contact for timetabling queries:

Week pattern

On the following table, please indicate the semester and the ideal week(s) which you would wish this activity to run for. Secondly please indicate which week(s) it would be feasible for this activity to take place on.

If the activity is split into repeating groups, please indicate the ideal week(s) for the first group only.

Semester 1:
Week Pattern / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / Christmas
Ideal weeks / Reg
Feasible weeks / Reg
OR Semester 2:
22 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / Easter / 33 / 34 / 35
Ideal weeks
Feasible weeks

Additional information

Information provided by

Name / Position / Signature

Last revised: 09/03/2015 kap25