Library Sign Up Form Terms A & B Fall 2019
Use this form to sign up your class to visit the library for orientations, research, computer use, book check out, etc. This will also help me design a lesson plan that meets the demands of your assignment. I will get back to you by email within 1 business day with a date. Always feel free to stop by or drop me an email to discuss possible research lessons and ideas prior to scheduling time.
Last Name, First Initial (i.e. Cheby, L.)
English Language Arts
Grade Level (check all that apply)
Number of students
Preferred Days of the Week
Check the days you prefer. Preferences will be considered, but cannot be guaranteed.
Do you need to schedule time for the whole period, the first half, or the second half only?
First half of period only
Second half of period only
How many sessions do you need for this lesson or unit?
more than 5
Other Scheduling Preferences: If you need an exact date, i.e. testing, please enter the date/dates here. If you need more than one session, please explain here if you want it consecutively or weekly over a period of time, etc.
Reason for visit request
Library Orientation (Policies & Access, Etiquette, Using the Catalog and Dewey Basics) (
Book Checkouts Only (no orientation) & Reading Advisory (one session / bi-weekly visits)
For a research UNIT taught in collaborate with the librarian (i.e. more than 3 sessions)
For a research LESSON in collaboration with the librarian (i.e. Digital portfolios, 1 or 2 sessions to locate one source in databases)
Computer time only -- I am teaching the lesson
Something not listed (please specify in section for prompt/assigmnment)
If signing up for a UNIT or LESSON in collaboration with the librarian, which of the following objectives would you like to include? (note: lesson length estimates include time for students to apply skills taught in the library)
Formulating research questions and search strategies ( 1 to 2 periods)
Advanced search strategies using LAUSD databases: Boolean Operators, choosing sources (1 to 2 periods)
Gathering evidence/bibliographic information: annotating & organizing (1 period)
Evaluating sources (1 to 2 periods)
Copyright and Fair Use / Digital Citizenship (1 period)
Digital Literacy Skills (i.e. Google Apps, APA/MLA formatting, Digital Terminology)
If not listed, please specify in the assignment/prompt question
Please enter the prompt / assignment description for the lessons in the library.
What is the final product that students will produce to display mastery?
Research Paper / Annotated Bibliography
Poster / Digital Presenation (PowerPoint, Prezi, VoiceThread, Website, etc)
Speech / Oral Presentation
How will the research process be graded?
Each step in the process will be evaluated (Planning Sheets, Notes/Notcards, and Outlines)
Quizzes / assessment (i.e. TRAILS)
Only the final product wil be graded
Not sure/ would like to discuss with the librarian
Which CCSS.ELA-Literacy objectives/standards you would like to address in this lesson/unit?
Conduct short as well as more sustained research projects to answer a question (including a self-generated question) or solve a problem
Narrow or broaden the inquiry when appropriate
Synthesize multiple sources on the subject, demonstrating understanding of the subject under investigation
Gather relevant information from multiple authoritative print and digital sources, using advanced searches effectively
Assess the usefulness of each source in answering the research question
Assess the strengths and limitations of each source in terms of the specific task, purpose, and audience
Integrate information into the text selectively to maintain the flow of ideas, avoiding plagiarism and overreliance on any one source and following a standard format for citation.
Draw evidence from informational texts to support analysis, reflection, and research.
Check all that apply to give me an idea of needs for students; this is more to give me an idea for how to pace the lesson
K- 8 Reading level
9-12 Reading Level
All or most special education students
All or most GATE students
What is your conference period to meet and plan with the teacher librarian before the lesson/unit?
No Conference (can meet before or after school)
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of LAUSD.
Terms of Service