FACULTY / INSTRUCTOR INFORMATION

COURSE INFORMATION

Please note: If you are teaching more than one section, please fill out and submit a copy of this form for each individual section.

Do any of the students in your class have special needs:
Yes No

If you have indicated that you have student(s) with special needs, please describe the accomodations needed:

LIBRARY INSTRUCTION INFORMATION

Date and time requested for your students' library session:

If you have worked in the past with a specific librarian, and would like to request their assistance again, please note his/her name here

RESEARCH ASSIGNMENT INFORMATION

Please briefly describe the research assignment that your students will be working on at the time of their instruction session

I would like to collaborate with a librarian to create or update a research assignment for my students. Yes No

Additional comments: