Library Instruction Request Form

Note: The instruction session is not scheduled until you receive a confirmation of your request.
At least 14 days' notice is required. Assessment surveys will be distributed at the end of each session.

Professor's Name:		Phone Number:
E-Mail:		Department:
Course No./Title:		No. of Students:

Preferred Dates & Times: (Please provide two possible dates for this presentation)

1st Choice					From:		To:
2nd Choice					From:		To:

Discipline/Instructor:

Area where class is to meet:

Type of instruction to be given (Check all that apply)

General library tour with introduction to library services (20mins.)	How to use CONSULS (Online Catalog(15mins.)
General library services & policies - Interlibrary loan, etc. (15mins.)	Hands-on practice (15mins.)
How to locate periodical articles - Online Databases (30mins.)	How to locate articles - Print Indexes& Abstracts (10mins.)
Internet for Research - How to find & evaluate web resources (30mins.)	Microfilm/Microfiche Demos (10mins.)
Search Techniques - Boolean Logic etc. (15mins.)	Other (specify)

Give a brief description of the class research assignment, resources, and topics you wish to have covered:

Type of Assignment:

Short Essay/Research Paper	Term Paper/Senior Project
Speech/Oral Presentation	Literature Review/Critique
Annotation/Summary	Other (please specify )

Note: We expect the instructor to stay with the class during the visit. A follow-up assignment to reinforce the learning experience of the class is recommended. Should you need to schedule more than one session at a time, please resubmit this form . You will be notified promptly, via e-mail, as to the status of your request.

For security reasons this form may not work if you are using a personal firewall with the "referrer" blocked

(For Library Use Only)

Librarian assigned _______________ Confirmed Date of Class_____________

If not submitting on-line, send form to:
Buley Library, Reference Desk
Phone: 392-5732 Email: eref@southernct.edu

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