Faculty member's name:
Course number (e.g., ENLT 109):
Section number, if applicable:
Course title:
Number of students:
Students are: First-years Sophomores Juniors Seniors
First choice date and time: Second choice date and time:
Preferred location: Media Center Collaboratory Professor's regular classroom Mother Pauline Room President's Conference Room Other If "Other," where?
Desired content: General library services Intro to Ref. collection Research strategy Online catalog Finding articles in periodical indexes Web searching Evaluating sources Citing sources/plagiarism Scholarly vs. popular materials Specific reference sources (list at right) Other (describe at right)
Your name:
Are you going to do the instruction? Yes No I'm willing to do it but it's okay if someone else does it
What have you told the faculty member about who will follow up with him/her?
Have you confirmed whether the Collaboratory or another space is available at the preferred time? Yes No
Have you put in a request for the space using Special Events' online request system? Yes No
If you've requested a space other than the Collaboratory, what space have you requested?