Library Instruction Request Form

Only one class per request.

Instructor Information
Library Instruction Volunteer:
Instructor First Name:
Instructor Last Name:	*
E-mail Address:
Daytime Phone Number:	*
Evening Phone Number:
Course Number:	*
Course Name:	*
Number of Students:	*
Date Instruction Needed:	*
Course Time:	*
Areas to Visit:
Are you using Blackboard in this course?	No Yes
Are there students with disabilities in the class?	No Yes
Class Assignment:*
Special Instructions:
Specific Topic(s):
Additional Comments:

URL: http://www.library.eku.edu/instruction/request.php web.library@eku.edu

Last modified: June 06, 2008 | 12:37:08 Validation: CSS | W3C