Library Instruction Request

Library Instruction Request Form

The George F. Smith Library of the Health Sciences offer a range of services that can help your students become better researchers and clinicians, and successful leaners. Customized class sesssions and research guides are among the services we can offer. To schedule a library instruction session for your class complete the following form. A librarian from the Smith Library will get back to you as soon as possible to schedule your class.

*The form will not be processed if the fields noted by are not complete.**
Instructor Name*
Required - You must fill in at least one of the three following fields, so that we can get back to you.
E-mail*
Office Phone*
Home Phone

Department
Name of Class
Number of Students
Classroom Location

	Students
	Medical Students
	Dental Students
	Nursing Students
	Public Health Students
	SHRP Students
	Other

Date and time requested
First choice -	Date Time a.m. p.m.
Second choice -	Date Time a.m. p.m.

Does your classroom have an Internet or a wireless connection?
	yes
	no
Do you require the librarian to bring any specific hardware or software with them to teach?


Information about your class and the assignment. Specific library databases you would like to see covered, etc.