FORM    102 
The University of Wisconsin                    INSTRUCTIONAL REPORT     
                                            RANK         i      I t     
                         NAME  
ITEM I. PERCENTAGE DISTRIBUTION OF SERVICE-Definitions on Back.         
                                            SCHOOL 
Part time Instructors report only on service given the University, representing
it by 100%.                        OR 
Instructors in more than one department fill a separate form for each department.
                                COLLEGE                    i1           
              D DEPT                        e 
Instruction      si$gA    Wheri     Administration       Extension      
 Other Activities     Total 
(speify)e     i                                                         
            7     ,19-      Part time 
a-- spcf)e                                                         ___  
                       l           mester192I19                  Date~ ''.
 92                               ~   tm 
100%                                                                    
                                          (Strike out one) 
Full time or part time refers to total univer- 
ITEM 11.          *Research for which speciallesity service-not to departmental
service. 
DATA    FOR                                        ENROL-               
                                           CLASSIFICATION OF STUDENTS   
                                                      DATA ON INSTRUC- 
COURSE        INSTR.                 Room         MENT                  
                                                                        
                                                        TIONAL STAFF 
DAY                                            Graduates            Fourth
Year             Third Year                  Second Year                
    First Year 
Number                                    ------- 
AND 
0.  .                             and                'go 
z    Type    --    HOUR                Total                            
                                                                        
                                                 See note (1) 
Building                                                                
                                   an                                   
                       at Bottom of 
t   GIVEN                                                               
                                            0        t!                 
                      10                Sheet 
M 
W 
M 
W 
M 
w 
M 
W 
M 
W 
M 
W 
M 
W 
M 
w 
M 
w 
_                       _ _ _w.                                         
             ..                   .-                     I  -- 
ITEM   III (OVER)                                                       
                                                                        
                                                         REMARKS ON BACK

ITEM IL 
(1) Instructors In more than one department report separately for each department
as to item H. 
(2) Use a separate line for each class, section, or credit group. 
(3) "Credits". Where students earn different credits in the same
course, use separate lines for each credit group, an show student classification
for each. 
(4) "Type". Use a separate line for each type of instruction. Indicate
type classification as follows: L, lecture; L-Q, Lecture-Quiz; Q, Quiz, Lab,
Laboratory; Sem, Seminary; The, Thesis; Conf, Conference; etc. or a combination

of these. 
(5) "Hours per week". Classroom and laboratory hours only, excepting
thesis or research conferences. Please estimate these conference hours. 
(6) "Classification of students"., Fll in for each class, section,
or credit group. Include Commerce, Journalism, Music, Pre-Med., Hyg. C. in
"L & S"; Home Economics in "Agr."; Gr. N. in "Med.".
Include adult pecials and 
specials in the college or school and year in which they belong. The number
of auditors may be given Ina footnote. Do not include in totals for course.

(7) Please indicate: (a) Name of person, if any, who is reporting the same
class and the same students. 
()Any class meeting for less than entire semester, giving number of weeks.