Library Instruction Request Form

Before submitting, please review the:

Guidelines for Assignment-Based Classes.

To contact a specific librarian or our reference department .

Date:

Subject:



Instructor's Name:

Instructor's Department:

Instructor's Phone (Work):

Instructor's Personal Phone (Home/Cell) :

Instructor's Email:

Course Name & Number:

Course Theme:

Number of Students:

Project Theme:

Please check the Library's Instruction Calendar for availability:
Instruction Calendar


Preferred Date & Time/First Choice:

Preferred Date & Time/Second Choice:

Preferred Date & Time/Third Choice:

Brief Description of Assignment :

Special Resources Needed:

Session Goals:

Addtional Comments :