Library Instruction Request Form - David L. Rice Library

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Request for Library Instruction

Request for Library Instruction

Please fill out the following form and submit. Be sure to provide all the requested information. Only submit one class session at a time. Your request must be submitted one week in advance prior to the date requested. All instructors MUST attend the library instruction session with their class. Questions concerning this form may be directed to Library Instruction

First Name:

Last Name:

Email Address:

Campus Phone Number:

Other Phone Number:

Course Number and Name:
(ex: HIST 308 / U.S. Since 1945)

Days Class meets:

Date requested for library instruction session (Note: if more than one session, type in multiple dates.):

First Choice
Second Choice

Due to a staff shortage for Fall Semester 2009, Library Instruction may not be able to schedule a class for your first or second choice. If this occurs you will be contacted for alternative dates. We regret any inconvenience to you and your students and will try our best to accomodate all faculty requests.

Session Begin and End Time:

Copy and paste assignment and/or student topics:

Citation Format: MLA APA CHICAGO Other (please specify below)

Assignment Due Date:

Number of students:

Please describe your class assignment and/or give any additional information that will help us provide your students
with the most beneficial instruction session:

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Request for Library Instruction