Return to Visiting Schools Library Instruction Page
Library Home Page
x
High School Instruction Request Form
Today's Date:
Teacher's Name:
School's Name:
Class Name:
Phone Number:
Email:
No. Of Students:
When would you like to schedule a session?
DAY
of Session
DATE
of Session
TIME
of Session (
a.m.
or
p.m.
)
1st Choice
2nd Choice
Time of Arrival:
Time of Departure:
What type of session would you like to schedule?
Describe Assignment
Topic(s) students will be researching:
