Library Instruction Request Form

Your Name*

Phone

Email*

Course Name*

Campus Location*

Type of Instruction:*

Face-to-Face: One session Face-to-Face: Multiple sessions (progressive) Webinar

Preferred Date and Time of Presentation:*

:

Alternative Date and Time of Presentation*

:

If you have multiple sections of the same course in need of instruction, give me the preferred and alternate dates for all sections:

Number of Students

This is required if you plan to bring students to the library and use library laptops, so we can reserve laptops and conference room for session.

Topics/Assignments/Resources/Activites I would like covered in this session

While I will try to include all preferred topics, I cannot promise with time and other constraints to cover everything asked for in this request form. If there is a topic(s) that must be included please indicate. Of course, I will also include topics and resources that I believe will be beneficial for students.

Please include specifically what you would like covered under 'other':

Additional Comments

Course Syllabus

No File Chosen

File uploads may not work on some mobile devices.

File Upload: For instruction, it greatly helps me to have your research assignment instructions, so I can plan my instruction around your assignment. Please attach that document for me to review.

Confirmation Email Needed?

Yes No