Library Instruction Request Form

INSTRUCTIONS: Decide on a date needed. Try to pick a date after the assignment has been given ( if there's a research paper, after a thesis statement has been developed ). Please be sure also to list at least two alternate dates and make sure this form is submitted at least 14 working days in advance. Fill out this miniform. Please make sure all the information requested is provided otherwise it will be difficult to contact you or to know what you need. You will be contacted by e-mail or by phone to confirm the date/time you have requested, or to schedule an alternate date.

If you have any questions or concerns, please contact:

at MAMC - Green Library: Stephanie Brenenson at 305-348-1843 or email

at BBC Library: George Pearson at 305-919-5272; Lauren Christos at 919-5721: or email InfoLit

Thank you!!

Library Location:	University Park LibraryBBC Campus Library
Instructor's Name:
Course #:
# of Students:
Office #/ext.:
Home Phone#:
Email:
Desired Date:
Desired Time:
ALT/Date:
ALT/Time:
Do Students Have Research Topics? YesNo
Class Profile
Description of Assignment or Research Paper Topics (If students have individul topics, please send or FAX at least one week prior to instruction)

Other Comments/Special Instructions (Topics for the Librarian to Include)

You will receive confirmation either by Email or by Telephone.

Additional forms may be submitted without re-typing identical information (name, etc.) by selecting and deleting the text in each field to be replaced with different information. "Refresh Screen" clears all fields.

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