Please use the form below to let us know when students may be using the public library for research projects and other assignments.

Teacher/Librarian Information:

Your Name:*

School Name:*

What is the best way to contact you?

Phone Email

Phone:*

Email:*

Assignment Information:

Title of Assignment:*

Assignment Due Date:*

Grade Level:*

Number of Students:*

Description of Assignment: (What kind of information will the students need to find? What are the details of the assignment?)*

What types of materials are required for the assignment? Check all that apply.

Any Source Books Encyclopedias Almanacs Newspapers

Internet Sites Atlases Reference Materials Dictionaries Magazine Articles

Explain any restrictions on what can be used:

Additional Comments: