Library Instruction Request Form

Faculty members: please complete this form to request library instruction for one of your classes.
You will have a chance to confirm the information you type. 
Your name: 
Phone Number: 
Department/Program: 

Course name: 
Course Number: 
Number of Students in Group: 
Class location: 
Would you like us to reserve a computer lab for the instruction?
 Yes    No

Preferred Dates and Times:

 First Date:           First Time: 
Second Date:          Second Time: 
 Third Date:           Third Time:

Please indicate the databases and/or resources to be covered in the instruction:





General description of the purpose of the instruction:

Will the classroom instructor be present
at the library instructional program?

Yes No

Please describe related research activities to be done by the students:

Other comments: