Course Prefix and Number
Instructor Name
Office Phone
Other Phone
(optional)
Office Hours
Email
Number of Students
Academic Level of Students
Please list
at least two
possible dates and times for your session
Option #1: Date
Example: YYYY-MM-DD
Option #1: Time
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24-hour format
Option #2: Date
Example: YYYY-MM-DD
Option #2: Time
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24-hour format
Option #3: Date
(Optional)
Example: YYYY-MM-DD
Option #3: Time
(Optional)
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24-hour format
Requested Instruction
Class assignments related to library instruction
(Optional)
Questions or Comments
(Optional)
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