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Library Instruction Request Form
Library Instruction Request Form
Name:
*
Email:
*
Course Number & Section
*
Number of students/attendees
*
Date
*
Date Format: MM slash DD slash YYYY
Start Time
*
:
HH
MM
AM
PM
End Time
*
:
HH
MM
AM
PM
Is there an assignment for this lesson?
*
Yes
No
Is there a specific librarian you would like to request to work with?
Yes
No
Please provide the librarian's name:
Please provide any additional/helpful/supporting information you think we may need:
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