GLOBAL CLASSROOM

GLOBAL CLASSROOM

FORM A: BEFORE THE SESSION
GENERAL INSTRUCTION

This form should be submitted 3 days before the global classroom session commences.
COURSE INSTRUCTOR DETAILS
FULL NAME (WITH DESIGNATION)*
with salutation
SECOND INSTRUCTOR FULL NAME
with salutation
THIRD INSTRUCTOR FULL NAME
with salutation
FOURTH INSTRUCTOR FULL NAME
with salutation
OFFICIAL UMPSA EMAIL*
cirel_admin@umpsa.edu.my
PHONE NUMBER*
Please enter a valid phone number.
FACULTY*
COURSE CODE*
COURSE NAME*
TOPIC*
APPROVER DETAILS

Please fill in your approver's detail.
FACULTY'S DEPUTY DEAN (ACADEMIC & STUDENT DEVELOPMENT AFFAIRS) EMAIL*
cirel_admin@umpsa.edu.my
FIRST FACULTY JK E-LEARN EMAIL*
cirel_admin@umpsa.edu.my
SECOND FACULTY JK E-LEARN EMAIL
cirel_admin@umpsa.edu.my
COLLABORATOR DETAILS

Please fill in the details of your collaborator.
FULL NAME (WITH DESIGNATION)*
DESIGNATION*
Prof./Assoc. Prof./Senior Director/Teaching Assistant
OFFICIAL EMAIL*
example@example.com
UNIVERSITY / INDUSTRY ADDRESS*

University/Industry's Name

Address

CityState / Nation

Postal / Zip Code
COLLABORATOR PICTURE*

jpg, jpeg, png, gif file only
Cancelof
2nd COLLABORATOR DETAILS

Please fill in the details of your collaborator.
FULL NAME
DESIGNATION
OFFICIAL EMAIL
example@example.com
UNIVERSITY / INDUSTRY ADDRESS

University/Industry's Name

Address

CityState / Nation

Postal / Zip Code
COLLABORATOR PICTURE

jpg, jpeg, png, gif file only
Cancelof
SESSION DETAILS

Please fill in the details of your global classroom session.
NUMBER OF GC SESSIONS THAT WILL BE CONDUCTED*
First Session
DAY*
DATE*

DayMonthYear
START TIME*

Hour Minutes

AM/PM Option
END TIME*

Hour Minutes

AM/PM Option
Second Session
DAY*
DATE*

DayMonthYear
START TIME*

Hour Minutes

AM/PM Option
END TIME*

Hour Minutes

AM/PM Option
Third Session
DAY*
DATE*

DayMonthYear
START TIME*

Hour Minutes

AM/PM Option
END TIME*

Hour Minutes

AM/PM Option
Fourth Session
DAY*
DATE*

DayMonthYear
START TIME*

Hour Minutes

AM/PM Option
END TIME*

Hour Minutes

AM/PM Option
Fifth Session
DAY*
DATE*

DayMonthYear
START TIME*

Hour Minutes

AM/PM Option
END TIME*

Hour Minutes

AM/PM Option
BASICSTANDARDADVANCEDCOLLABORATION WITH TOP 500 QS WORLD UNIVERSITY RANKINGS
LECTURE HALL / LABGLOBAL CLASSROOM @ FLEXMC (UMPSA PEKAN)iLEARN STUDIO (UMPSA GAMBANG)Other
1. Click here for book your slot Global Classroom Studio

https://flexmc.umpsa.edu.my/index.php/en/facilities/studio
ADDITIONAL REQUIREMENT

Please fill in any additional requirement from FLEXMC (if needed) of your GC session. Important Notice: Starting from Semester 2, Academic Session 2024/2025, FLEXMC will no longer be providing design services for GC posters. However, FLEXMC has created three sample posters in Canva for lecturers to edit and use. Please refer to the FLEXMC website to access the posters and feel free to customize them for your needs.
TECH SUPPORTLOGITECH CAMERAINVITATION LETTERNONE
MS Teams / Google Meet / Zoom - link*
if you request a poster please key in your online platform link
INSTRUCTOR PICTURE *

if you request a poster please upload your corporate picture (jpg, jpeg, png, gif)
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YesNo

Please download and fill out this claim form for collaborator's claim.
Please upload claim form, copy of collaborator's passport and bank statement for claim*

Cancelof
Should be Empty:

GLOBAL CLASSROOM

GENERAL INSTRUCTION

COURSE INSTRUCTOR DETAILS

APPROVER DETAILS

COLLABORATOR DETAILS

2nd COLLABORATOR DETAILS

SESSION DETAILS

First Session

Second Session

Third Session

Fourth Session

Fifth Session

ADDITIONAL REQUIREMENT