Classroom Collections and Subject Requests
Request form for Bolingbrook elementary, middle and high school teachers to submit requests for library materials to use with their students. Please complete this form at least two weeks prior to the date the items are needed. If you need materials in less than one week please call 630.685.4231 so delivery can be scheduled.
Teacher Name and Grade
Your answer
School Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Preferred Contact Method
Number of Items Needed:
Your answer
Student Reading Level:
Your answer
Specific title requests: (Please include title and author information)
Your answer
Subject(s) requested: (Please be specific, i.e. for penguins specify eating habits, habitats, lifespan, etc.)
Your answer
Please check the materials that will be acceptable.
Required
Type of Material Needed: (Please check all that apply)
Required
Do you need items in another language?
If yes, please specify language(s).
Your answer
Select one of the options below for delivery date:
If needed by a specific date, please indicate the date.
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Fountaindale Public Library. Report Abuse - Terms of Service - Additional Terms