PHS Library and Hicks Gallery Request Form
Please fill out the form below to schedule Library or Hicks Computer Lab (AFTER HOURS ONLY) usage. Every attempt will be made to accommodate your request. If your preferred time slot(s) are full, you will be notified by email and asked to re-submit your request. In order to accommodate as many people as possible, reservations for HICKS GALLERY/LIBRARY COMPUTERS will be limited to TWICE/MONTH. After the reservation has been approved, you will RECEIVE A CONFIRMATION EMAIL.
Name of Faculty/Staff completing this Form. *
Your answer
Name of Faculty/Staff who will be utilizing Library Resources. *
Your answer
Groupwise (email) Name/Telephone Extension *
In case of conflict.
Your answer
Department
Your answer
Grade Level *
Required
Number of Students *
approximate
Your answer
Date(s) Requested *
Please submit your preferred date(s).
Your answer
Would you like the Teacher Librarian, Annasarah Ferguson, to assist you?
Please give at least two weeks notice. Mrs. Ferguson can be reached for collabortation/planning via email.
Resource Needs *
Required
Period/Time Slot *
Time availability is subject to change depending on testing, special events, and meeting schedules. Select all that apply.
Required
For what purpose are you using the Library Resouces? *
Check all that apply
Required
Types of Research
Please forward a copy of the assignment prior to arriving.
Your answer
Special Requests/Other Notes
Your answer
Submit
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