Name:

Phone:

Email:

Department and Class number (for example RHET 110 or PHIL 310)

Department:   Class Number:  

How many students are in the class?

Are the students working on a specific assignment?

 Have the students had a library instruction session before?

 What would you like us to cover?

 What Date and Time would you like for the session?

• We prefer at least one week's notice to schedule a class.
• The Instructor should attend with the class.
• A librarian will contact you to finalize the date and time of your session.

1st Preference
Date:   Time:   

2nd Preference
Date:   Time:   

3rd Preference
Date:   Time: