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, unless you are already on the schedule. For additional information as to purpose and amenities, see the Library Instruction Lab policy.

Instructor's Name:  

Department Name:

Email:  

Campus Phone:

Contact Name - If different from Instructor

Course Name, Number, Section  

Number of Persons Attending:  

Date and Times: (First Choice)      
Beginning: End:

Date and Times: (Second Choice)
Beginning: End:

Instructor Present?:
YesNo

Preferred Library Instructor: (if needed)

Guest Instructor's Name: (if applicable)

Is this a library/research assignment?: (if needed)
YesNo

Topic or Nature of Research:  

If possible, please upload a copy of the assignment:

Equipment Needs: (other than computers and LCD projectors)

Location: (if other than library)

Does this space have an Internet connection? YesNo

Requested By: (if different from instructor)