Instructor Name:

Instructor Email Address:

Course Title:

Time and Day of Class:

Please rank your preferred dates and times for a library instruction session:

First Preferred Date and Time:

Second Preferred Date and Time:

Third Preferred Date and Time:

Please list any special requests (specific databases, resources, etc., that you would like for the librarian instructor to cover)

Thank you for using this form. Your request will be sent to the coordinator of library instruction, Maria Accardi, and she will respond to your request within two business days.