Requestor's Name:

Class:

Preferred Date(s):

Time (start & end):

Number of Students:

Should we contact you by e-mail or by phone? e-mail  phone

E-mail address or Phone number:

What do you want your students to learn at the library instruction session(s)?

How will your students demonstrate what they've learned at the library?

Other comments/questions:

NOTE: This form must be submitted at least five (5) working days prior to requested tour date.