Library Instruction Request

Campus:

Instructor Phone Number:

Instructor Name:

Instructor Email:

Instructor Phone Number:

Course Title & Number:

Number of Students:

Preferred Date:

Preferred Time:

Alternate Date:

Alternate Time:

Alternate Date 2:

Alternate Time 2:

Description

Please provide a short description of relevant assignments and/or activities. Details will aid in a customized presentation to your class.

Comments

Please provide additional information or specific requests for the instructional session (ex. specific resource type, specific library resources or databases)

ADA

Please inform the librarian of any ADA accommodations or needs of students enrolled in the course.

If you are human, leave this field blank.