Library Instruction Request The library staff can assist you in teaching your students how to do library-based research, access the online databases and/or online catalog, or provide your students with an overview of the most important subject resources in your discipline.

Library Media Center

Please fill out this form to let us know what to cover during your class visit along with any limitations or pertinent information that we will need to know in order to tailor our presentation to your needs. Examples: what is the specific assigned topic(s); limited to specific format or # of resources, such as must utilize 3 books, 2 articles, and only 1 online source.

Once we have received this form and have confirmed that the date and time you have requested is available, a library staff member will contact you via e-mail to confirm that your class visit has been setup.

Please schedule session a minimum of 2 business days in advance.

Name:	Today’s Date:

Campus e-mail:	Campus phone:	Cell:

Course Title:	Course & Section #:

Classroom:	Number of Students in class:

(Building/Room Number)

Date / Time requesting visit (list 3 date time options in case of a scheduling conflict with first choice)

1st choice Date:	Time:	to

Alternate Date:	Time:	to

Alternate Date:	Time:	to

Type of class assignment/instruction you wish us to provide: (please provide as many details as you can and attach a copy of assignment/handout given to students if available.)

Library staff use only below this line:

Staff member confirming:	Date/time e-mail confirmation sent: