Faculty: please fill out form completely, then click the "Submit" button. Completing form thoroughly will allow us to serve you better. You will be contacted by the librarian, as soon as possible, to confirm the arrangements.

Faculty Name (first and last): 


Home Phone (include area code):

Office Phone:

Email Address: ex. jdoe@domainname.com

Class Time:

Course Title/Number:

Days and Times Taught:

Distance Education Course:

Delivery Format:

Number of Students:

Preferred Date and Time: 1st Choice:

Preferred Date and Time: 2nd Choice:

Preferred Date and Time: 3rd Choice:

Class Assignment:

Please email any documents related to the assignment (research paper description, syllabus, etc.).

Citation Format:

Instruction Should Include: