Salem State College Library - Instructional Services

Library Instruction Request Form

This form must be submitted at least two weeks prior to the earliest date requested .

Please note: This form is not a confirmation. You will be contacted within 48 hours by an Instruction Librarian to confirm your date and time. 


Date: 

First/Last Name:  
Department:      
Work Phone:       
Other Phone:       
E-mail Address:

Academic Level of Course:

1st/2nd Year
3rd/4th Year
Graduate
Number of Students:

Desired date and time:
1st choice:
2nd choice:

Please explain the assignment or project related to the library session:


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