Library Instruction Form

Instructors Only: Please complete the form below to request a Library Instruction Session.

CAUTION: If you enter a field incorrectly (an invalid email address, for example) or skip a required field, the form will return an error message but will also clear the correct fields when the page refreshes.

Instructor's Name: (Required)

Email: (Required)

Phone Number: (Required)

Affiliation:

The Ohio State University at Mansfield

North Central State College

Department: (Required)

Type of Library Instruction: (Required)

Describe the assignment this library class will support: (Required)

Course Number: (Required)

Course Name or Description (ex. Freshmen English): (Required)

Days class is held (ex. MWF, or TTH): (Required)

Class start time (ex. 10:00 a.m.): (Required)

Class End Time (ex. 11:00 a.m.): (Required)

Number of Students:

First Choice for date to schedule an instruction session: (Required)

Second Choice for date to schedule an instruction session: (Required)

Due to equipment and resource availability, library instruction is given in Bromfield Library and Information Commons, Room 120A. To request an alternative site, indicate location below: