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Library Instruction Request

Use this form to request an instruction session in the library.

Faculty/Instructor Information
Instructor
First Name
Instructor
Last Name
Department / College
Phone
Email

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.

Course # (ex. ENGL 015)
Section # (ex. 001)
Course Title (ex. Rhetoric & Composition)
Number of Students
Days Class Meets (ex. MWF)
Time Class Meets (example: 9:10 - 9:55 am.)
Do you use ANGEL in this course?
 Yes
 No
Do any students have special needs?
 Yes
 No
If yes, please describe accomodations needed

Library Instruction Information

Date and time requested for your students' library session:

First Choice
Second Choice
Third Choice

If you have worked in the past with a specific librarian, and would like to request their assistance again, please indicate:

Requested Librarian

Research Assignment Information

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

Assignment

I would like to collaborate with a librarian to create or update a research assignment for my students.

Collaborate with Librarian
 Yes
 No
Comments
 

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