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Instruction Request Form

Please fill out the following form to request an instruction session. By clicking the Submit button, your request will be submitted via electronic mail to the Instruction Librarian.

First Name:

Last Name:

Phone:

E-mail:

Your Department:

Course and Title:

Indicate in the boxes below your first, second, and third choices for class date and time(s).

What assignment or specific topics will the students be working on in conjunction with this instruction?:

Other Comments:

Correspondence regarding this site should be sent to its maintainer, Created by Susan Drummond.
Revised on October 16, 2007

Correspondence regarding this site should be sent to its maintainer, Webmaster, <edzimmer@iup.edu> . Please see IUP's statement regarding pages that do not officially represent the university.