Library Instruction Request

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Submit this completed email form to the Ellen Wilson at the University Library at least two weeks prior to the requested instruction date. A confirmation email will be sent to the person making the request.

If all required fields (those marked with an asterisk (*)) are not completed, the form will not transmit.

*Instructor
*Course Department & Number
Writing-Intensive (W) Class?	Yes No
* Telephone
*E-Mail

*Requested Date
*Requested Time
*Location	Room 305 of the University Library Course Classroom
Number of Students
Do students have a specific assignment tied to this session?	Yes No
What do you want students to be able to do after this class? Please note special topics and resources to be covered.

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AGREEMENT

I understand that completing this form is only a request for instruction, and that classes are not scheduled until they have been confirmed by the instruction coordinator.

* Please read and check the box to accept this agreement.

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• Most recently updated: October 19, 2011 ekw