Library Workshop Request Form
First and Last Name (required):
Email Address (required):
How may I contact you?
(Please specify a phone number where you can be reached.)
Course Name & Number:
Preferred Date and Time:
Online Using Adobe Connect
Online Using Panopto
Please describe the research assignment. Be sure to include the types of resources you would like to include during the instruction session. If possible, send a copy of the syllabus or assignment to firstname.lastname@example.org.
Please describe any special accommodations that will be needed for the instruction session.
Please type the two words shown in the image. (required)
If the letters are too hard to read. Please select the REFRESH button
, found in this image.