Services & Information - Instruction Request Form

To schedule a research instruction session, please fill out and submit this form.

Your Name:
Telephone:
Email:
Division:
Course Name/Number:
Number of Students:

What dates and times would you like to schedule?

First Choice:

Date: Time:

Second Choice:

Date: Time:

Where would you like a librarian to meet with your class?

Classroom Location:

Note: Classrooms must be equipped with network access, computer, projector and screen.

What content would you like a librarian to emphasize in the session?

Note:To choose more than one please hold down the Ctrl key while making your selections.

If you would like the librarian to cover other content please describe that below:

What learning outcomes do you expect from the session? Please be as specific as possible:

Below, either copy and paste your actual assignment or describe it in detail. Be sure to include in your description, the types and number of sources you expect your students to use, the page length, and exact or potential topics.

We cannot schedule your session until you provide specific details about the assignment.

MODESTO JUNIOR COLLEGE LIBRARY

Services & Information - Library Instruction Request Form