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Classroom Instruction Request Form
Classroom Instruction Request Form
Submitted by
jarich
on Wed, 10/22/2014 - 19:02
Name
*
HIU Email Address
*
Class Name/ Section
*
Number of Students
*
Room Number
*
Type of Class
*
Traditional Undergraduate
Online Undergraduate
Graduate
Other
What kind of Instruction would you like?
*
Overview of the library and its services
Subject-specific reference instruction
Advanced library catalog use
Overview of research databases
Instruction concerning a specific assignment (please upload assignment below)
Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2019
2020
2021
2022
2023
Start Time
*
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
am
pm
End Time
*
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
am
pm
Other Comments?