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Instruction Request Form

Library Instruction Request - Region 12

Use this form to schedule a session with the librarian to provide instruction on the use of the library, library resources and information literacy. Please submit a separate request for each session that you want to schedule.

Note: Before scheduling a session, please read about our library instruction options.


Library Instruction Session Information

Course name: *   Course number: *   Number of students: *

Type of instruction requested*:
Research Workshop (60 min.)
Using Dictionaries (20 min.)
Intro to the Library (5-10 min.)
One-on-One Instruction (length varies)
Other (give details in Additional Information)

Requested date for instruction: *   Requested time for instruction: *

Additional information (specific topics you would like addressed in the class, etc.)

Location*:
Evansville (Main Campus)
Signature School
Tell City Campus
Pike Central High School
other (give details in Room Number text box)

Room Number (where the session will be held) *

Is this room a computer lab?*
yes
no

Name: *    Phone: *    Email address: *

                                                                    * indicates a required field

Form created by Form Forge. Contact ksherril@ivytech.edu for assistance.

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Evansville, IN 47710
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