Library Instruction Request Form

* (required information)

*Name:
*Email:
Phone:
*School/Department:
Other:
Course title and number:
*Number of students:
*Desired time, date, and duration of session (please list at least two options):
*Desired location of session:


Please describe any assignments your students are required to complete in connection with this library session:
*Please indicate which subjects you would like a librarian to cover: