Library Instruction Reservation Form

Library Instruction is provided to individuals, groups, and classes to assist them in developing research and critical thinking skills. Please consider scheduling the instruction session when it will have the biggest impact for the students; i.e., as close to the time of need as possible. Please make your request at least one week ahead of the requested instruction session. * Required Field * Last Name: * First Name: Address: Home Office City: State: Zip Code: Home Phone: ( ) * Campus Ext.: * E-mail address: (username@rider.edu) * Department: * Library Barcode: (hidden) * Status: -select- Faculty Staff * Course No.: * Title: * No. Students: * Date: MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec DD 12345678910111213141516171819202122232425262728293031 YYYY 2007 2008 * Time: hh 1 2 3 4 5 7 8 9 10 11 12 : mm 00 15 30 45 AM/PM AM PM Librarian Requested (please list 3): Assignment:: Due Date: MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec DD 12345678910111213141516171819202122232425262728293031 YYYY 2006 2007 Student's Topics: Requested Length of Paper: No. Sources Requested: Are there particular sources which you would like mentioned? Please mail a copy of the syllabus or a copy of the assignment to the librarian who will be teaching the instruction session. For additional information, please contact: Dorothy Warner 609-896-5241 warner@rider.edu Click on the send button when you have completed your request; click on cancel if you want to clear the form. Instructional Services © Copyright 2006, Rider University Libraries