Library Instruction Request Form
Thank you for your interest in the Resnick Library's library instruction services. Please fill out the form below, and a librarian will be in contact with you to arrange class dates/times and allow you to make any special arrangements as needed.

Your name:
Your answer
SUNY Delhi e-mail address: *
Your answer
Contact phone number (campus, if possible):
Your answer
Course name and number:
Your answer
Days and time class meets:
Your answer
Number of students in class:
Your answer
Do any students have special needs? If so, please explain:
Your answer
Preferred location for instruction session: If not selecting 302 please include classroom location under other. *
Required
Preferred date and time for instruction session (please list more than one):
Your answer
Briefly describe the assignment or class needs for the session:
Your answer
Will the students have a topic coming into the instruction session?
Desired learning outcomes:
Would you like to meet with a library instructor ahead of time to discuss the material?
Would you be willing to participate in outcomes assessment to evaluate the effectiveness of our instruction? We can contact you to discuss what this would entail.
Please provide any additional information that might help us prepare for your instruction session:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms