FORM    102 
The University of Wisconsin                     INSTRUCTIONAL REPORT    
                                              RANK         AS i        t
                            NAME               C        t         tT. ' 
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            A   'cultire       
                 DEPT.                 .  r Je 
Instruction     ASSigne   r es her   Administration       Extension     
   Other Activities     Total 
a                  b                   c                  d             
(specify) e                                     1        emester,19i    
    195          Date                t      7      , 
semester  ,9_,1t9 _1  Date   -                                  Part time

100%                                                                    
                                        (Strike out one) 
Full time or part time refers to total univer- 
ITEM IT.            *  esearchi ior which special iunds are provided    
                                                                        
                                         sity service-not to departmental
service. 
DATA    FOR                                        ENROLL-              
                                              CLASSIFICATION OF STUDENTS
                                                          DATA ON INSTRUC-

COURSE         INSTR.                Room          MENT                 
                                                                        
                                                            TIONAL STAFF

DAY                                             Graduates            Fourth
Year              Third Year                  Second Year               
      First Year 
Number 
-AND 
A  92                     and 
S SType~          HOUR                 Total     0See note (7) 
UZ  U  Mzat Bottom of 
2IVE                                    8                               
                        3                                               
                                                      Sheet 
M 
W 
M 
w 
M 
W 
W 
W 
M 
M 
M 
W 
W 
W1 
ITEM   III (OVER)                                                       
                                                                        
                                                             REMARKS ON BACK

ITEM 11. 
(1) Instructors in more than one department report separately for each department
as to item II. 
(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, and show student classification
for ach 
(4) "ye.Use a separate line for each type of instruction. Indicate type
classification asfollows: L, lecture; L-Q, Lecture-Quiz; Q, Quiz, Lab, Laboratory;
Sam, Seminary; The, Thesis; Conf. Conference; etc. or a combination 
ofthese. 
(6) "Hours per week". Classroom and laboratory hours only, excepting
thesis or research conferences.. Please estimAte these conference hours.

(6) "Classification of students". Fill in for each class, section,
or credit group. Include Commerce, lournalism, Music, Pre-Mod., Hyg. C. In
"L &S"; Home Economics In "Agr."; Gr. N.in "Med,".
Include adult specilssand 
specials in the college or school and year in which they belong. The number
of auditors may be given in a footnote. Do not include in totals for course.

(1) Please indicate: ()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.