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Library Instruction Request Form for
High School Teachers

Maximum number of students is capped at 30 per visit.  No exceptions.
Please note: Date and time are not guaranteed until confirmed by a librarian.  
All fields are required
 

Teacher's Name:
School Librarian / Media Specialist:
School Name:
Course Name:
Address:
Phone Number:
Email Address:

Total Number of Students:

Number of students currently enrolled in SLU’s 1818 Advanced
College Credit Program  

Number of students NOT currently enrolled in SLU’s 1818 Advanced
College Credit Program  

Session Date (1st Choice): (mm/dd/yy)
Session Date (2nd Choice): (mm/dd/yy)
Session Date (3rd Choice): (mm/dd/yy)

 
 
Arrival Time:
Departure Time:
Transportation: Bus   Car
If arriving by car, please indicate number of cars:

Assignment Description:
Topic(s) students will be researching:
   
   
 

Last updated July 31, 2007

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