Library Instruction Class Request Form

• Name: Course: Number of Students:
• Phone: E-mail:

I would like this class to be held:

• Time-Begin: Time-End:
• Date: - 1st Choice: 2nd:
• At the Valhalla Campus - Library 220 Another Classroom (Building/Room):
• At an Extension Site - Site Location: Room Number:
• Does your extension site or classroom have access to the internet, computers & projector?
• Would you like to request a specific librarian?

Assignment Details