Request for Instruction

This form is to request a library instruction session. If this is for Core A, please use the Core A form. Please completely fill out this form at least one week prior to your request date. An instruction librarian will contact you to confirm your reservation.

If you want to reserve the classroom for your own teaching session, please e-mail Candice Benjes-Small, cbsmall@radford.edu

*Your Name:

*Your Email Address:

(ie. bob@radford.edu - please include both parts!)

*Phone Number : 

*Course Title and Number: 

*Number of students: 

*I am requesting sessions for multiple sections of the same class: 

*Days and times class meets:
(you may list multiple sections of the same class) 

*Date(s) for instruction:
(you may list multiple sections of the same class)

*Second choice date(s) for instruction:

*Classroom preference:
(if you select "other" please explain in note field below)

*I understand that I am required to attend the session with my class. Here's why it's important you attend.

*What is the student assignment?  

*After checking the Instruction A La Carte Menu, which topics would you like us to teach?

Other Notes: