Library Instruction Request Form

Contact Information
Your Name
Email Address
Phone Number
Class Information
Campus
Course Name & Number
Class Meeting Time	(ex: M-W-F 8:40-9:30am)
Number of Students
Do you teach in a mediated classroom where students have computers?	Yes , with student computers Yes , with instructor computer only If yes, room number: (ex: COOR L1-42) No
Session Information
Date & Time Requested
First Choice
Second Choice
Information about the assignment your students will be working on or your course.

Page last modified: July 11, 2008

Contact Information