Instruction Request Form

Please submit a separate request for each library instruction session.

Please allow at least two weeks in advance of your preferred date, if a Library Instructor is requested. For additional information as to purpose and amenities, see the Library Instruction Lab policy.

* Required fields

* Instructor's Name:  

Division Name:

* Contact Name  

* Contact Email:  

* Contact Phone:  

* Course Name, Number, Section  

* Number of Persons Attending:  

* Date and Times: (Preferred)      
Beginning: End:

Date and Times: (Alternate)
Beginning: End:

* Is a Library Instructor needed?

Preferred Library Instructor:

Is this a library/research assignment?:

* Topic or Nature of Research:  

Please upload a copy of the assignment:

Guest Instructor's Name: (if applicable)

* Equipment Needs:


Location: (if other than library)

Does this space have an Internet connection?

Additional Information