Instruction Session Request Form

To Be Completed by Faculty or Teaching Assistants *All fields in red must* be completed.**
Contact Information
Instructor Name:		Phone No. (On-Campus):
Subject Area:		Phone No. (Off-Campus):
E-Mail Address:
Course Information
Course Name & Number:		Number of Students:
Normal Class Day & Time:		Preferred Length of Session:
Please select three (3) date choices below. Use the drop-down boxes to select month and day.
First Date Choice:		The earlier you request a session, the better chance you will have of receiving your first or second choice.
Second Date Choice:
Third Date Choice:
Instruction Needs
Describe the library or research assignments if applicable:
List any specific resources, databases, or collections you wish to be emphasized or covered in detail:
Does anyone need special accommodations? Please describe.
Please Enter the Above Text:
What's Next?
This form will be sent to the Coordinator of Library Instruction who will then contact the appropriate subject specialist in the library to conduct your session. You will be contacted to discuss content and confirm the day, date, and time of the session within 2 business days. Would you prefer to be contacted by (please select one of the following): Phone E-Mail