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Library Instruction Request Form

If you have any questions about Mason Library's Instruction Services, please contact Peg Barrett at 358-2714 or pbarrett@keene.edu.

Faculty name:*
Department:*
E-mail address:*
Phone:*
Course title:*
Course #:*
Number of students:*

Briefly describe the paper or project the students are pursuing this term which requires library research.*

Assignment Start Date:*

Assignment Due Date:*

Indicate any specific sources, collections or materials you would like covered (e.g. EBSCOhost, FirstSearch, Keene-Link, etc.)*

Is hands-on practice desired?	Yes No
Are hands-on computers available in your classroom?	Yes No
Does your classroom have a SmartCart?	Yes No

To provide proper presentation time and to accomodate the volume of requests, it is recommended that you allow at least 5 working days lead time for an instruction session. Please list 3 possible dates below.

Preferred Date 1:*	Preferred Time 1:*
Preferred Date 2:*	Preferred Time 2:*
Preferred Date 3*:	Preferred Time 3*:

* = required fields


Updated: August 16, 2007	Feedback \| Email This Page \| Printer-friendly format
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