Writing Programs

Library Instruction Request Form

Contact Information
Your Name
Email Address
Phone Number

Class Information
Course Name & Number
Class Meeting Time (ex: M-W-F 8:40-9:30am)	Section #1: Section #2: Section #3: Section #4:
Number of Students (per section)
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
If you do not teach in a mediated classroom, please choose your preferred library classroom.	Hayden Library Noble Library Whichever is available on the date I need

Session Information
Date & Time(s) Requested
First Choice
Second Choice
Is your class doing any of the following types of assignments?	Rhetorical Analysis Controversial Issue/Topic Annotated Bibliography Other (please specify) ** Please email copy of your syllabus and/or the assignment sheet to libinstruct@asu.edu.
Other information about your course.

Page last modified: October 26, 2007

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