Library Instruction Request Form

• Requests for library instruction must be submitted at least one week before the date of the session. Thank You!
• The instructor will be notified if the session cannot be scheduled at the requested time.
• The instructor or faculty substitute must be present during the instruction session. Otherwise the session will be cancelled.

* Indicates a required field

Contact Information
* Instructor Name:
Telephone Number:	Best Time to Reach:
* Email Address:	Mail Code:
Request Date
1st Choice Instruction Date:	Instruction Time:
2nd Choice Instruction Date:	Instruction Time:
Course Information
Name of Course:
Course Code:	Section #:
Location:	Number of Students:

Additional Information

Are there any students in your class who require special accommodations?
Yes No

If yes, please describe the necessary accommodations.

Describe the assignment that you are requiring your students to complete.

Describe your expectations for the instruction session.

What types of sources will students be required to use for the assignment?

Student Success

Successfully prepare your students for a library instruction session.

Related Pages

• For Faculty
• LINKS: Your Guide to Finding Information
• Research Tutorials