Library Instruction Request Form

Please submit this form at least one week prior to the first instructional session. Submit a request for each class section. If you teach two or more sections of the same course, please submit separate forms.

When forms have been submitted, you will be contacted by email to confirm the date and time you requested. The name, email and phone number of the librarian assigned to teach your class will be given to you so contact can be made to discuss the instructional session(s).

*Asterisked items are required.
* Name:
* Email:
* Phone:
Information about your class:
* Course Title/Number:
* Number of Students/participants:
* Preferred Date & time of 1st Session:Date:
Preferred Date & time of 2nd Session:Date:
* Description of Assignment or Project:
Are there any subjects or specific resources to be covered? If yes, explain:

For additional information please contact: Cheri Smith 574-631-4271