Class Visit Request Form

Jackson County Reference Librarians are available for class visits. Please fill out this form as completely as possible. Forms must be submitted 7 days prior to the class visit date. A librarian will contact you to confirm your class visit. If you do not receive confirmation please contact your library prior to the visit date. * We require this information to process your request.
*Teacher's Name: *School Phone: *School: *Number of Students:	*Teacher's E-Mail Address Home Phone: *Grade: *Number of Adults: (recommended 1 per 6-10 students)
*Requested date of visit:
*Requested start time for visit:	*Requested duration for visit:
PURPOSE OF VISIT: Library Orientation Tour: Adult Dept: Yes No Teen Dept: Yes No Children's Dept: Yes No Instruction: Library Catalog: Yes No Online Databases: Yes No EBSCO Magazine Index: Yes No Storytime: Elementary Grades Only Yes No Other: Browse and Checkout: Yes No Will you be returning library card applications for your students? Yes No These applications must be submitted at least 3 days before the visit. Remind your students who already have a library card to bring their cards to this visit. Check other services for which you would like to receive further information: Yes No Research Topic Reserve Shelf Yes No Teacher Stations Yes No Booktalks Yes No Summer Reading Promotion Questions (please give as many details as you can): Notes: Students doing research should have flexibility in topic assignments in case first choice is not available. For class visits requesting library catalog instruction students should know how to spell and type their research topic. To make sure your class gets the most out of your library visit, please read, How to Have a Successful Class Visit to the Library. |