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Instructor/Student requesting instruction

Are you faculty, staff, or student?   

Instructor's or student's contact information:
Phone number:
 
Email address:
 

Requested date of instruction\workshop
     

Alternate date of instruction\workshop  
     

Time of Instruction\Workshop (ex. 1:00 p.m. to 2:00 p.m.) 

Course/Workshop information (Department code, section number and title, workshop title)

Number of students enrolled            
Graduate Students        Undergraduate Students


Indicate any special topics, class assignments, and any other additional information which would aid the librarian in preparing the presentations:


OPTIONAL: If available, do you want a specific librarian to teach the library instruction session?