Course-Integrated or Senior/Advanced Module Request

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Please allow a minimum of two weeks between your request date and the time period in which you hope to have a module scheduled. Questions? Please contact the Library Instruction Coordinator, Beth Hillemann (or x6704).

Your Name:
Your Department
or Program:
Office Phone:
Email Address:
Course Number
and Name:
Course Meeting
Days and Times:
Number of
Students in Class:
Level of Students
in the Class:
(Check All That Apply)
First Years

I Would Like to Sign
Up for One or More
of the Following:

Course-Integrated Modules
Library Research
Managing Information & Using RefWorks
Scholarly Communication & Intellectual Property
Software Applications
Senior or Advanced Seminar Module
Library Research
Presentation Preparation (Software & Technology)
Preferred Dates/Times
for Instruction Session(s):
(Please List 3 Options)