Instruction & Facility Request Form
Complete this request form either 1)
to have a librarian teach your students about print and/or electronic library resources or computer software related to their class assignment/project/research,
or 2)
to reserve the facility if you will teach the class.
This request is for
select one
Instruction
Personal training
Room or computer reservation
CONTACT INFO:
Requestor's Name
(required)
Phone Number
(required)
E-mail Address
(required)
P.O. Box
(required)
COURSE INFO:
Department
Course Name and Number
Preferred Date & Time
Alternate Date & Time
Preferred Location
Lab in your college/department OR
Library
(NOTE: if your lab, you'll need to make the necessary arrangement, then notify the librarian who will teach your class.)
CRN
(WebCT use only)
Number of Students
FOR COMPUTER INSTRUCTION ONLY:
Computer Application
Computer Area
Select one
1300
1302
1308
No computers/room needed
Who will teach this?
Select one
Librarian
No librarian needed
Undecided
You may request a specific librarian or instructor
Select one
Tony Ard
Ruth Baker
Bob Fernekes
Lori Gwinett
Kendria Lee
LiLi Li
Jocelyn Poole
Sonya Shepherd
Lisa Smith
Rebecca Ziegler
What is the reason for the Library instruction?
Select one
Research paper/ project/ exercise for student assignment
Intro to library resources
Computer applications
Would you like hand-on instruction?
Yes
No
Additional information
Return to Henderson Library
