A A Email Print Share

Instructional Technology Program Forms

Here you will find some forms that are useful for participating in the Program in Instructional Technology. They have been placed here for easy access and are downloadable using Adobe Reader.  If you are unable to download the files or have a request for a form that is not provided, please contact Linda Bruno, Program Assistant at brunol@duq.edu or 412.396.1995.

Graduate School Online Application

An applicant for admission to graduate education must be a graduate of an approved college or university and must provide evidence of fitness for advanced study as shown by scholastic records, training, and experience. Complete transcripts from each institution must be forwarded and become the property of the School of Education.

Office of Graduate Admissions and Advisement
214 Canevin Hall
Duquesne University
Pittsburgh PA 15282

Instructional Technology Program Advisement Sheet

Use this form to track your progress through the Program in Instructional Technology.

Application for Academic Degree

Application for graduation and commencement is valid for one term only.  Check the Academic Calendar for deadlines.  Log on to DORI, Self-Service Banner to apply for graduation or you may submit a paper Application for Academic Degree to:

Instructional Technology Program Office
Fisher Hall Room 327

SR-1 Registration Form

1. Complete this form by listing the course selections taken from the appropriate semester schedule.  Include personal information as appropriate.

2. Sign the form and fax to your advisor for approval at  412.396.1997.

Add or Drop a Course

Use this form to add or drop a course after registering for a course  This request must be signed by  you, your advisor, and the course instructor.  It is the student's responsibility to ensure they meet deadline dates to receive tuition refund.  See the Academic Calendar.  Return completed form directly to:

Program in Instructional Technology Duquesne University
327 Fisher Hall
600 Forbes Ave
Pittsburgh PA 15282
or Fax to your advisor at 412.396.1997.

Independent Study Approval Form

GILT 509 (Independent Study) students who elect to register for the Instructional Technology Independent Study must obtain the consent of a faculty member to sponsor the experience. Students must also register for the respective course.

Complete this form and secure your instructor's signature within three weeks of registration. Submit the form with a copy of your Proposal for approval. Failure to submit this information may results in cancellation of the independent study.  In addition, the Title provided on the form will be annotated on your transcripts to provide a more definitive description of your efforts.

Catholic School Teacher Discount Form

Requesting a Catholic School Teacher Tuition Discount. This form must be submitted annually (starting each summer semester) to request a Catholic School teacher tuition discount. Students from the Dioceses of Pittsburgh, Greensburg, and Altoona-Johnstown are eligible for this discount. Failure to complete this form in a timely manner could result in excess financial obligations.  This form must be accompanied by a letter of verification on official school letterhead and is due at the start of the summer semester every year you are in the program.  Complete all elements of this form and submit directly to:

Financial Aid Office
Duquesne University
600 Forbes Avenue
Pittsburgh PA 15282-0299

Contract for Completion of Incomplete Grade

This contract must be completed and signed by the student and course instructor.

Field Hours Reporting Form for Undergraduate Students.

Use this form to track and submit your field hours for undergraduate students

Field Hours Reporting Form for Graduate Students

Use this from to track and submit your field hours for Master's students.  Please note this is a new form.  Other forms prior to this are not valid for reporting field hours and will not be accepted. 

Request for Research Travel Funds

This form is used to obtain approval prior to travel for student research.  This form must be submitted at least 3 - 4 weeks prior to travel. 

PCHE Cross Registration Form and Instructions

Use this form and instructions to cross-register for courses from a Pittsburgh Council on Higher Education (PCHE) University.