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Tailored Class Registration Form


Medical Center Library faculty will work with groups to tailor classes for a specific need. Use this form to provide information about a specific class. A Medical Center librarian will contact you within 24 hours of receiving this form to confirm the date of the class.
 

Contact Medical Center Library Research & Education for questions or additional information.


Instructor Information

Name:
Department:
Mailing Address:
E-mail: (Required for notification)
Daytime Phone/Beeper:
Fax:
Affiliation:
Liaison Area:
(if appropriate)

 


 

Class Information

Class Name:
Program or Department:
Number of Students in Class:
Time of Class:
Amount of Time for Presentation:

Presentation Style:

Hands-on  Demonstration

Classes larger than 50 students will have to be divided
into smaller sections if the hands-on format is desired.

Presentation Topics:

(Type an "x" to select all that apply.)

Library Orientation Databases

Electronic Journals Library Tour


Other:


Class Assignment
Yes No
Description of Assignment:
Assignment Due Date:
Class Attendance Required? Yes  No
Preferred Session Date and Time:

First Choice (date and time):

Second Choice (date and time):

Third Choice (date and time):