CCP Logo
REQUEST FOR INFORMATION LITERACY INSTRUCTION

Fill in form completely. PLEASE LIMIT ONE CLASS PER FORM.


Required Fields are in bold. Guidelines for Information Literacy Instruction can be found here.

Today's Date:       Instructor Name:      

Department:

Campus Address:       Extension:       E-Mail Address:

Select Campus for Instruction:
  Verify Campus:
Main   Northeast Regional Center   Northwest Regional Center   West Regional Center
******

Course Title:       Course No.:       Class Size:

******

First Choice:
                  Time

Second Choice:
                  Time

******

Required Text(s) for this course is/are:

  1. Author/Editor
    Title
  2. Author/Editor
    Title

Comments/Specifics:

Please select one:
I will send a sylalbus
Please call so I can explain the assignment - Best time to reach me
Please contact me by email so I can explain the assignment

     

Forms for Main Campus will be submitted to Main Campus Library Faculty, forms for the Northeast Regional Center and the West Regional Center will be submitted to Carol Jewett, and forms for the Northwest Regional Center will be submitted to Jaroslaw Fedorijczuk, Northwest Regional Center Librarian. What you have submitted will be available on the next page and it is suggested that you print a copy for your record. The Information Literacy Instruction class date and time will be confirmed upon verification by the Instruction Librarian or the Regional Librarian.

SUBMIT ANOTHER REQUEST? After submitting the form, you may use the "Back" button of your browser to return to this completed form. Just change the appropriate fields and "Submit" another request form. PLEASE LIMIT ONE CLASS PER FORM.


This page is monitored by the Reference Librarians at Community College of Philadelphia
Last Modified 27 January 2010

Library Home Page       College Home Page