Library Instruction Request Form

Please fill out one form per instruction session.
This service is reserved for ULV faculty only. Form should be filled out by faculty member only.
To assure the availability of a librarian, a classroom and needed material, please contact us as early as you can. We require a minimum of 1 week notice to prepare a session.
Please send us a copy of your syllabus or assignment.

Instructor's First Name (required)
Instructor's Last Name (required)
Location/Category (required) (Please choose the category that best suits your instruction needs)
Other Location/Category (please fill ONLY if your location/category is not listed above)
Phone Number (required)
Cell Phone Number (required) (enter "none" if no cell phone)
E-mail (required)

Course Information
Course Name (required)
Course Number (required)
Number of Students in class (required)
Where does the class meet? (required)	On Main Campus Away from Main Campus
Room Location: If class meets away from Main Campus, please enter the Center or building name, street address and room number. If class meets on campus, please enter NONE. (required)

Library Instruction/Class Meeting Time

Indicate dates and times you would like to schedule the instruction. Please note selected dates and times are not valid till confirmed by librarian.

First Preference (required)
Second Preference (required)
Third Preference (required)

Type of Library Instruction
Will you be making any assignment requiring use of the library in conjunction with this orientation ? Yes No
Basic instruction and orientation to the library We will cover basic library services, use of library online catalog and electronic databases, and basic skills in using periodicals and reference works. Please enter any special instructions: Specialized subject instruction by discipline. Please enter any special instructions:

We require a minimum of 2 weeks notice to prepare a session.
You will get confirmation of the date and time of the library instruction session by email or by phone.
You will need to be present throughout the instruction - your participation is important.
Please call the Research Desk at x4305/4306 if you need to cancel or reschedule your session for any reason.

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©ULV Libraries, 2004.
2040 3rd Street, La Verne, CA 91750
For comments and suggestions, please email: tripuran@ulv.edu

Library Instruction Request Form

Course Information

Library Instruction/Class Meeting Time

Type of Library Instruction