Classroom Services Request

Educator Name

Email

Phone

Preferred Contact Method

Best Time to Contact

Educator Library Card Number

School Type

School/Organization Name

Homeschool Location Address

Address

City/Town

State/Province

ZIP/Postal Code

Age / Grade(s)

Number of students

Location of Services

Services Requested

Storytime

Book Talks

Catalog Search Demonstration

Database Demonstration

Library Website Demonstration

Web Reference

Internet Safety

Information Literacy (Choosing Sources)

Library Cards for Kids

Date(s) Requested

Granted based on Library staff availability.

Date(s) Requested
	Date(s) Requested Date(s) Requested: Date Date(s) Requested: Time	Item weight

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Additional requests or comments