Instruction Request
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Library Instruction Request Form

 

All fields with red * must be filled in
Course Title:  
Teacher: *   
Telephone: Work *                                       Home *
Email: *  
No. of Students:  
Date Requested for Orientation:  
Time Requested for Orientation:  
Type of Instruction Requested:
 









Please enter the Specific Database:

Special Resources to Review:  
Concentration on a Specific Discipline (i.e., Literary, Criticism, Business):
Special Instructions:  
Please send a copy of worksheets, assignments and/or material to be used during class.
Paste in Assignment:
     
 
 
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