North Campus Library Instruction Request Form

 

Please fill out the request form below and submit it at least five (5) working days before the requested instruction date. Please note, the requested session date is not confirmed until you have been contacted. MDC requires all instructors to accompany their classes as their attendance has been proven to enhance the effectiveness of the library instruction.

Please make sure that all of your students have established their MyMDC Accounts prior to this session so they can access the electronic resources.
Thank you for your interest in providing library instruction to your students.

 

 

FIRST NAME:

LAST NAME:

PHONE / EXT:                                  

          

 

 

 

DEPARTMENT:

EMAIL:

ALTERNATIVE PHONE:   

 

 

 

PREFERRED CONTACT INFO: Enter a preferred e-mail address or phone number which will be used to contact you.

 

 

 

 

 

 

 

COURSE # (e.g. ENC1101):

CLASS MEETS ON:

PREFERRED DATE:

M

 

T

Start Time

 End Time 

NUMBER OF STUDENTS:

W

ALTERNATIVE DATES:

R

 

F

 

 

S

 

Place a check mark next to those items you want covered during the instruction: 

 

 

 

Library catalog

Library databases

 

Scholarly websites

Library tour

MLA citation

APA citation

Plagiarism

Other resources. Please specify:

 

 

 Please describe the class assignment or content focus at this point in your course:

 

 

 

                                                   Thank you.