Instruction Request Form - QEII Library

To request that a librarian contact you regarding a library instruction class for your students, please complete the following form. For details about the program, see Library & Information Literacy Instruction.

Please be sure to:

Provide all of the information requested below.
Submit your request at least 2 weeks in advance of the earliest requested date.
Submit one request per form.

Instructor Information

Library:
Full Name:
Email:
Phone Number:

Course Information

Title/number:
Section number:
Number of students:

Please upload your syllabus, assignment handouts, or other relevant document(s) below. If more than three documents, click the "Add another document" button.

File:

Date(s) And Time(s) of session(s)

1st Choice:
2nd Choice:
3rd Choice:
4th Choice:

Comments or Additional Information:

Thank you. You will be contacted by a librarian to confirm the booking and discuss the content of the session. Please click "Send Request".

The personal information collected on this form is used to administer and provide library services. Personal information is collected under the authority of the Memorial University Act (RSNL 1990 Chapter M-7). If you have any questions about the collection and use of this information, please contact the University Librarian at (709) 864-7428.

By completing and submitting this form, you consent to this collection of your personal information for the purpose outlined above.

December 21, 2011