Library Reservation Request
Have you checked the library calendar to make sure your requested day is available?
Please fill out the form as best you can and, if doing a research project, etc., please provide the library with a copy of your lesson plan.
Teacher Name
Your answer
Teacher email address
Your answer
Course Name
Your answer
Grade Level(s)
Required
Day or Days You Are Requesting
Choose as many as applicable
Required
Your answer
Beginning Date
MM
/
DD
/
YYYY
Ending Date
MM
/
DD
/
YYYY
Your answer
Periods Needed
Required
Title or Topic of Lesson
Your answer
TEK(s) Objective for Lesson
Your answer
Part of library you will be using
Check all that apply
Required
Technology Needed
Choose all that apply
Required
What will be required of the students? (check all that apply)
Required
Your answer
What do you need the librarian to do to assist you? (Choose all that apply)
Specific instructions, requests, or comments:
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