Specialized Subject Instruction Request Form

Please fill in the information below so that we can make and confirm an appointment for you.

* Please note that all fields are required fields.

Class Information

Course Title & Number (e.g. EN 111)

Contact Information

Name
Phone Number
Email

Time

Time Class Meets (e.g. MWF 9:15-10:15)
Preferred Dates of Library Instruction

Services

Number of Students in class

Upload Copy of Student Assignment - 2 MB limit

Detailed Description of Requested Services

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