Teacher Librarian Request Form
Use this form to sign up your class(es) to work with the teacher librarian.  This form will help me to plan for the needs of your students.  Always feel free to stop by or drop me an email to discuss possible research lessons and ideas prior to scheduling time.    
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Email *
Teacher Name *
Select period(s) *
Required
Class Title/Subject *
Grade Level (check all that apply) *
Required
Preferred Days of the Week *
Check the days you prefer.   Preferences will be considered, but cannot be guaranteed.  
Required
How many sessions do you need for this lesson or unit? *
Other Scheduling Preferences: If you need an exact date, i.e. testing, please enter the date/dates here. If you need more than one session, please explain here if you want it consecutively or weekly over a period of time, etc.
Type of Lesson or Support Needed *
Required
Please enter the prompt / assignment description or email me (aclements@selmausd.org) a copy of your assignment. *
What is the final product that students will produce to display mastery?   *
Required
When can we meet to plan before the lesson/unit?
A copy of your responses will be emailed to the address you provided.
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