>> Instruction Request

Library Instruction Request

Please submit request Forms for EACH section of the same course

Required items are marked with an *

Please attach the assignment and your syllabus

Instructor Name:*

Instructor Email:*
*Please use your Philadelphia University Email Address

Course and Section Number:*



Course Meeting Time:*
Start Time End Time

Number of Students:*

Preferred Date:*
Preferred Time:*

Alternate Date 1:*
Alternate Time 1:*

Alternate Date 2:
Alternate Time 2:

Preferred Librarian:*

Preferred Location:*

Assignment is due on this date:*

Briefly Describe the Assignment Here:

Describe Your Targeted Learning Outcomes for this Instruction Session:*

List Any Topics or Possible Topics Your Students Have Begun or Might Begin to Explore for this Assignment:

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