Library Instruction Request Form

Fill out this form or contact your subject librarian to indicate your interest in having a librarian provide customized library instruction sessions. Check out our instruction support LibGuide for resources and tips to partner with librarians and to create effective research assignments. Please allow at least two weeks for arrangements to be made.

Instructor presence *

I understand that I am expected to be present during the synchronous instruction session.

Librarian will contact you *

I understand the librarian will contact me to determine and confirm the date, time, location, and content of the instruction session.

Instructor/Requestor Information

Name *

Email *

Phone Number

Course Information

Semester *

Fall 2021

Summer 2021

Department/Program *

Course No *

Course Title *

Meeting Date/Time

Number of Students *

Instruction Requested

Type of Instruction Preference *

Face-to-face sessions currently remain unavailable in University Library instruction classrooms

Synchronous Online (e.g.: Zoom)

Asynchronous Online (e.g.: Canvas, LibGuides, etc.)

Synchronous Library Instruction Date Requested

Alternative Date(s)

Description of Library-Related Assignments and Specific Library Sources and Services to be Emphasized

ADA Accommodations

So that the librarian leading the instruction session will be informed of any specific student ADA needs, please indicate if any of your enrolled students require ADA accommodations due to reported accommodation needs (e.g. interpreting services, special software, etc.)

Do you have a Librarian in Mind? *

(Look up your Librarian Subject Specialist)

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