Instruction Request Form
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Your Name: *
Department: *
Email Address: *
Daytime Phone Number: *
Evening Phone Number:
Type of Instruction Needed: *
If you are requesting both a General Archives Instruction and Oral History Instruction, we recommend scheduling the General Archives one first.
Course Number (e.g., ENG 102): *
Course Name: *
Number of Students or Participants: *
Date Instruction Needed: *
MM
/
DD
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YYYY
Start Course Time: *
Time
:
End Course Time: *
Time
:
Preferred Instruction Format: *
An embedded archivist in Blackboard can monitor the Ask Your Librarian Discussion Board and/or create archives training modules with assignments. If you select No Preference/Not Sure, we’ll contact you to discuss options.
Are you using Blackboard in this course?: *
Are there students in the class or participants in the group who may require special accommodations?: *
Desired Learning Outcomes: *
Special Requests: *
e.g., "I would like Jackie to do this Archives Instruction session."
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