Research Guide 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:
Please describe the research assignment required for the course. Be as specific as possible. Include the types of resources (reference material, books, journals, newspapers, etc.) the students will be required to use to complete the assignment. If possible, please email a copy of the assignment to breua@uhv.edu.
Please type the two words shown in the image. (required)

If the letters are too hard to read. Please select the REFRESH buttonrefresh button, found in this image.