Music Library Instruction Request

Instructor last name, first name: *

Email: *

Daytime phone number: *

Evening phone number:

Course number: *

Course name: *

Number of students: *

Date instruction needed: *

Course time: *

Class location: *

Class format: *

Are you using Blackboard in this course?:

Yes

Are there students in the class who may require special accommodations?:

Yes

Research assignment: *

Clear, concise, specific assignment to focus on in this instruction session.

Example topics: *

Specific topics should be sent one week prior to instruction session.

Special requests:

Leave this field blank:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 9 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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