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Library Information Literacy Instruction Request Form
Name of Instructor:
Email Address:
Phone Number:
Name of Class:
Possible Dates and Times of
Session:
(
Please
include
several
choices as
we might not be able to honor your
first choice. Also, please try to
provide two weeks notice so that
we have preparation time.)
Campus Location:
Boone
Covington
Edgewood
Urban Center
Holmes
Room Number:
In what type of room is your class
located?
Computer Lab
Smart Classroom
No Technology
Number of students:
Is this instruction request for a
specific assignment or for a general
library instruction session?
Special requests or instructions:
Note:
You will be contacted by a Gateway Librarian after your request has been submitted.
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