Library Instruction Request

This request form must be submitted two weeks in advance. 
A librarian will contact you to confirm your request and our availability.

Faculty Member Name (Required):
Course Number :
Course Title (Required):
Date of Instruction Session (Required):
Time of Instruction Session (Required):
Preferred Location of Instruction Session:	Library Classroom
Campus of Instruction Session:	Portland   | Gorham   | LAC
Email (Required):
Phone (USM campus ext.):
Phone (Home/Other):
Number of students in class:

Assignment and date due:

Sources/Topics to be covered:

Other comments:

Created by: Bill Grubb
Created on: 02.26.2007
Last Updated: 02.26.2007