Richard Stockton College Library - Instruction Class Request Form

Dear Colleagues, If you wish to schedule a library instruction class, please fill out the form below with as much detail as possible. For further information, please contact Mary Ann Trail, ext. 4857, or Carolyn Gutierrez at ext. 4275.
* Required field. This information is necessary for us to schedule your class.

Instruction Class Request Form

*	Instructor:
	Program:
*	E-mail Address:
*	Phone Number:
*	Course Name & Number:
*	Preferred Date:	* Time:
*	Alternate Date:
	Number of Students:

	What source materials would you like covered?: (for example: databases, turnitin, etc)

	Would you like an exercise included? Yes No

	What assignments will your students be working on? (for example: term papers, presentations, etc)

*	Preferred place of instruction:
			if other:

Faculty are expected to be present during the instruction session.