Community College of Philadelphia Library - Request for Library Instruction

REQUEST FOR LIBRARY INSTRUCTION

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

Required Fields are in bold. Guidelines for Library 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

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Course Title: Course No.: Class Size:

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Preferred Date & Time:
Time

Alternate Date & Time:
Time

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

Author/Editor
Title
Author/Editor
Title

Comments/Specifics:

Please select one:
I will send a syllabus by interoffice mail
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, Regional 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 Library 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 3 September 2008