INSTRUCTION REQUEST FORM
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Instruction Request by:
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First Name
Last Name
E-mail
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Phone Number
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Affiliation
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Please Select
Faculty
Instructor/Graduate Assistant
Staff
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Affiliation, if other
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Course Number
Course Title/Purpose
When would you like to meet?
Sessions normally range from 60 min to 90 min
Date and time of instruction requested
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Alternate date option
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Number of participants
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Due to space we can accommodate up to 20 participants per session. However, we are willing to work with you in terms of space.
Where would you like instruction to take place?
Ethnic Studies Library
Your Classroom
If not in the Ethnic Studies Library, where is your classroom located?
If at the Ethnic Studies Library will you be attending instruction with your students?
Yes
No
Help Us Help You
Library instruction is most relevant and productive when it accompanies a specific assignment. On the date of your library session, will your students be working on a particular assignment that requires them to use library resources?
Yes
No
What would you like your session to focus on?
Tour of library and different collections.
Finding sources (ex: academic, popular, primary)
Library Assignment
Subject-Specific Resource Training
Evaluating Web Resources
Specific database(s)
Other
If other, please give us an idea of which important topics you would like us to cover
Attachments
Please attach a copy of your syllabus and/or assignment.
Syllabus
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Assignment
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** If your attachment file is too large please email it to:
melissa.s.stoner@berkeley.edu
after you submit your instruction request**
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