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Course Instruction Request Form

Librarian*
Find your librarian
Instructor*
Phone*
Email*
Desired Date(s)/Time*
Alternate Date
Course No. (e.g., ENGL 100)*
Class Size
Course Title
Assignment Description and Learning Objectives:
Please send course syllabus to the librarian.

Additional Information or Comments:
I understand that actual scheduling of instruction has not occurred until the date, place, and time of the instruction are confirmed by my librarian.