Assignment Alert Request Form for Grades 5 and Up
Teacher Use Only

Advance notice about school assignments will assist the Teen Department at the Riverhead Free Library in providing your students with as many library resources as possible.

Today's date (One weeks notice please)
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Teacher Name:
Your answer
Phone Number:
Your answer
Fax:
Your answer
School:
Your answer
Grade:
Your answer
Number of Students:
Your answer
Date Assignment Begins:
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DD
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YYYY
Date Assignment Ends:
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Your Email Address:
Your answer
Description of Assignment: (What are the specific details that the assignment entails? What are the students asked to research? Please email or mail a copy of the assignment after submitting this form so we have it for students.)
Your answer
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