Teachers Name:*

School:*

Teacher's Phone:
(ex: 123-456-7890)

Teacher's Email:

Grade*

Date of Assignment:

Date Due:

What is the Assignment?

Are other teachers making the same assignment? Yes No 

Please mark any sources below that are required for this assignment:

Any
Magazines
Books
Newspapers
Databases
Internet
Encyclopedia

Please list any sources below that may be of use to the students:

Number of sources required:

Length of completed report:

Types of materials which are acceptable:
Books
Encyclopedias
Magazines
Pamphlets
Specialized Encyclopedias
Electronic Resources
Internet Sites
Other
If other, please explain:

Students should be aware that they may not be able to check out materials in areas where our collection is limited or where there is a heavy demand. In these instances they should be prepared to spend time working in the library using reference materials or making copies to use at home. Ordering materials can take from one week to ten days (longer if material is on a waiting list). Thank you for your cooperation.