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Library Instruction for High School Teachers

Please review the Guidelines for Requesting Library Instruction for further details.

 Instructor Information:

Teacher's Name:

School Name:

Course Name:

Dept Phone Number:

E-mail Address:

 Date Information:

Session Date: (1st Choice)

 mm/dd/yy

Session Date: (2nd Choice)

 mm/dd/yy

Arrival Time:

Departure Time:

Please Note: Date and time is not guaranteed until confirmed by a librarian.

 Assignment Information:

Assignment Description:

Topic(s) students will be researching:

Numbers & types of sources required: (books, articles, websites)

Number of Students:

Assignment Due Date:

 mm/dd/yy

Will students require access to library computers after the class?

Yes No