Library Instruction Form
Date of Request
(Date Format = 01-Jan-2006)
Last Name
First Name
Email Address
Requestor Classification
Student
Faculty
Staff
Community User
Other
Department
Class Name
[ex.: ELEN 214 Electrical Circuit Theory]
Number in Class
Indicate the type of Library Instruction you require. You may choose more then one
General Library Tour/Orientation Instruction
Online Catalog Instruction
Electronic Database Instruction
Instruction for a specific assignment (Please provide assignment details)
Other Instruction (Please provide details)
Please provide assignment details or list research topics
Special requirements or considerations
State expected outcomes
Comments
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