Library Instruction Request Form

*[all fields are required]

Your Contact Details

1. Name:
2. Email:
3. Phone:

Your Class Details

1. Class name and number:
2. Number of students:
3. Affiliation: Please select one MSU (Please list department): High School (Please give name): Other (Please give details):
4. Please give details:
Possible dates/times (2 weeks notice required):
5. 1st choice:
6. 2nd choice:
    *Note: It is not always possible to meet your first time preference
7. Will you attend the sesssion(s)? Yes No
8. Number of library sessions needed? Please select one One (50 minutes) One (75 minutes) Two (50 minutes) Two (75 minutes) Other (Please describe in comments section below)
9. Is this session tied to a specific assignment? Yes No
10. If yes, please describe:
11. What are you objectives for this class?
12. What would you like the session to cover? Catalog
    Indexes (list in comments below)
    Web Resources
    Evaluation & Critical Thinking
    See Comments Below
    
13. Comments:

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