Medical Center Library

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 the  Medical Center Library Research, Education & Clinical Services Division for questions or additional information.

Instructor Information

Mailing Address:
E-mail: (Required for notification)
Daytime Phone/Beeper:
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


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):


MCL Circulation:
MCL Reference:
MCL Interlibrary Loan:
All Other Questions & Comments: