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Library Education Services: Library Instruction Request Form

Effective Library Assignments & Alternatives to Research Papers | Information Fluency Competencies | Information Fluency Initiatives | Library Instruction Evaluation Form (faculty) | Library Instruction Evaluation Form (for librarians) | Library Instruction Evaluation Form (students) | Library Instruction Request Form (online) | Library Instruction Request Form (PDF) | Librarian Liaisons | Library Education Services Home

Please fill in all fields with an asterisk (*)
*Date of library instruction:
*Time of library instruction:
*Course name & number:
(for example, NURS496)
*Course title:
*Classroom number & building:
*Professor's name:
Library instructor's name:
*Audience:
(Check all that apply)

Undergraduate students:
Graduate students  

*Number of students:
*Location for library instruction:

My classroom:
Library Instruction Room I (24 computer workstations)
Library Instruction Room II (seats 36):
       Demonstration only
       Use laptops

*Assignment description:
*Resources to cover:
Other information:

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