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Library Instruction Request Form

Instructors, please use this form to request library instruction for your class. Required fields are indicated with an asterisk (*). If you have any questions, contact Hanrong Wang.

(*) Submitted by:

(*) Instructor's Name:

Instructor's Email Address:

Date of Session:
(*) 1st Choice
2nd Choice
NOTE: Your 2nd Choice is needed in case your first choice for your Library Instruction is not available.

(*) Department:
Preferred Telephone Number:

(*) Course Title/Number:

(*) Number of Students:

(*) Time Class Begins:
(*) Time Class Ends:

(*) Assignment Description/Material Covered (for which you are requesting the instructional session):

Date Assignment is Due:

Additional Comments:

For more information, contact Hanrong Wang.
Telephone: (256) 782-5250 / FAX: (256) 782-5872
Law, Military Science, & Technology Librarian
Jacksonville State University
700 Pelham Rd N
Jacksonville, AL 36265-1602

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