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Science Instruction Request Form

Please use this form to request an instructional session in the use of library resources.

Building where you would like the instruction session:
Science Library (17 computers, seats 34)
Other (Use this if you want US to come to YOU)

Name of instructor

Department, Address


Phone number


Course name

Course number

Class time

Number of Students

Preferred dates:

1st choice
2nd choice
3rd choice

Please tell us, as specifically as possible, what you wish for us to cover during your session
including information about any related assignment(s) :

Type characters in image here: