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INFORMATION LITERACY CLASS REQUEST
(For NJCU faculty and staff use only)

If you are an NJCU instructor or faculty member and would like to request a course-integrated library research instruction class for your course, please fill out the following form. A librarian will contact you to further discuss your needs for the class and to confirm the date and time. Please allow at least two week's notice for scheduling. Faculty member / instructor must be present during the class. Submitting this form does not confirm the presentation.

*Your name:
*Department:
*Primary phone number:
Home     Office

Alternate phone number:

Home     Office

*Email:
*Course title:

Select a level:
Graduate
Undergraduate
Other:
Number of students:
*Class meeting
days and times:

1st choice of preferred date and times
for library instruction:
(Two weeks advance notice needed.)
Date:

From:
A.M.  P.M.

To:
A.M.  P.M.

2nd choice of preferred date and times
for library instruction:
(Two weeks advance notice needed.)
Date:

From:
A.M.  P.M.

To:
A.M.  P.M.

Description of course and/or assignment:
Sample research topics:
Specific library resources to be covered/any other information:
* Denotes a required field                        



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