Specialized Subject Instruction Request Form

Please fill in the information below so that we can make and confirm an appointment for you.

Library instruction takes place in the LB212 Computer Lab unless otherwise arranged.

^* Indicates required field.

Name ^*

Course Title & Number (e.g. EN 111) ^*

Phone

Email ^*

Time Class Meets (e.g. MWF 9:15-10:15) ^*

Preferred Dates of Library Instruction ^*

Upload Copy of Student Assignment

Detailed Description of Requested Services