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Contact
Information
Name:*
E-mail address:*
Phone number:
Institution
(Choose One) *
Class
Information
Course Name:*
Course
Number:*
Number of
students:*
Requested
Date/Time
1st Choice:*
2nd Choice:*
3rd Choice:
(optional)
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Meeting
Place*
Library
Classroom (17/104)
WHC
(building/room)
Is
your WHC classroom equipped with a
computer/LCD projector?
Library Instruction Type
*
Orientation
Orientation with a library tour
Course Integrated Instruction
(assignment specific)
Course Series
Your
Learning Outcomes*
Description of Assignment or Research Topics*
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