Instruction Request Form
Important! Submit this form at least 2 weeks (10 workdays) in advance of the proposed date for instruction!

Name:	Phone:	E-mail:
Dept:	Course:	Number of Students:
Date:   Time:	Alt. Date: Time:	Alt2 Date: Time:

Goals for session (check all that apply):

	Self-guided tour (have students do ahead of formal Librarian-led tour/instruction--apprx 15 min.)
	Formal tour of library and how to access book sources--apprx 30 min.
	Using databases, search strategies, and accessing periodical sources (55 minutes)
	Using basic print reference resources (25 minutes)
	Using and evaluating Internet sources/resources (30 minutes)
	Tour another library (60 minutes approximately, plus travel time may have to be added to total)
	Hands-on training in addition to above demonstration by instructor (30 minutes)
	Special group requirements (e.g., focusing on specific databases, using newspapers, focusing on citations, etc)--write in specifics below (additional advance notice time required)

Please Note: Before clicking Submit, please double check all the information you've entered for accuracy. Also, there is no confirmation page after submitting this form; but if you do not get an e-mail error message in your inbox, the form has transmitted successfully and you will soon be contacted (via e-mail) by a Reference Librarian.

Thank you for using our online Reference Instruction Request Form!