Request for Information Literacy Instruction

   PLEASE ALLOW ONE WEEK'S NOTICE & LIMIT TO ONE CLASS PER FORM.
   Guidelines for Information Literacy Instruction can be found here.
   * Required Fields

Contact Information

Your Name: *

Department *

Campus Address: *

Email Address: *

Phone Number:*

Course Information

Select Campus for Instruction: *

Main Campus
Northeast Regional Center
Northwest Regional Center
West Regional Center

Confirm Campus for Instruction: *

Course Number: *

Course Title: *

Class Size *

Preferred Date for Instruction: * ,

Preferred Time: * : to :

Alternate Date for Instruction: ,

Alternate Time: : to :

Required Course Text (if any):

Author:
Title:
Author:
Title:

Comments/Specifics:

Please select: *

I will send a syllabus
Please contact me by email so I can explain the assignment
Please call so I can explain the assignment

Best time to reach me: If 3rd option was selected in previous question :

Forms for Main Campus will be submitted to the Instruction Librarian, forms for the Regional Center Libraries (Northeast, Northwest, and West) will be sent to the appropriate Regional Center Librarian. For your record, a copy of the information you submitted will be sent to the email address you provided.

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.