*Course Name and Number

*This class meets on the following campus:
Madison
Lawrenceburg
Batesville

*Instructor:

Instructor's Email Address: (Not required for form to work, but we would really like it if you have one)

*Telephone: (Feel free to indicate work and home.)

*Would you like to schedule an instructional session with a libraryian before your students begin this library assigment?
Yes
No

*Date assignment is to be given to students:

*Date assignment will be due:

*Estimated number of students:

*Description of assignment (include objectives, required length, other features or details):

Are there any particular sources that you recommend your students use to complete this assignment? (Please consider placing items on reserve in the library for materials that will be heavily used. We would appreciate any extra copies you might have for our reserve shelf.)

What citation style will students be expected to use (if assignment requires citations of sources)?

If there are particular days and times when you would like to bring your entire class to the library to work on this assignment, please indicate: