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Ivy Tech Community College--Warsaw campus faculty Complete this form to request library instruction for your class. Library instruction sessions should be scheduled as far in advance as possible but not less than 72 hours prior to the requested instruction date. You will receive confirmation by email, phone or in person. A request is not confirmed until a library staff member contacts you. If you have any questions please call Tim Keyes, Library Coordinator, at (574) 267-5428 ext. 6125. Instructor's name: Instructor's phone number: Instructor's email address: Name and number of course: Location (include room number): Number of students: Time and day the class meets: Preferred date, time, and day for library session: Second choice for date, time, and day for library session: Please describe the assignment you have given your students, and/or the topics the Librarian should cover in the instruction. Form created by Form Forge. Contact tkeyes@ivytech.edu for assistance.

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