Please Note: Requests for instruction should be made two weeks in advance. No classes will be given on an afternoon prior to a holiday. Faculty presence is required during the instruction session. Please be aware that simply filling out the request form does not guarantee you the date and time you request. Your request must still be processed and confirmed. We will contact you by email to confirm your class request.  If you have any questions, please call Kristine Kasbohm at x8407.

If you have filled out the form correctly,
you will receive a copy of it in your email.

Name: *

Department:

Email: *

Telephone:

Course Name and Number: *

Requested Date (1st choice):: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year200920102011

Requested Date (2nd choice)::

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year200920102011

Time of Class:: *

hour123456789101112

:

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am

pm

Number of Students::

Disability Support Services Neede?: If you have a student registered with Disability Support Services please advise us of any accommodations necessary for the Library session:

Assignment and Sources: Describe your assignment and any sources you expect your students to use.

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