Library Instruction Request Form

The George T. Harrell Library offers orientations, tours, and instruction for individuals or groups.  Sessions may be held in the library, Library Classroom or in classrooms within the College of Medicine and Hershey Medical Center.

Please complete the following form.   If you have any questions, please contact the Reference Department at 717-531-8634.

Name:

Today's date:

Department:

Telephone:

Position:

Mail Code:

*Contact person:

E-mail:

Date of session:

Alternate dates and times:

Time of session:

Length of session:

Suggested location:

Expected class size:

*(Indicate a contact person only if different than person making the request.)

Please describe the session you would like (examples:  tour for residents, OVID training for student nurses).  If the session will be held as part of a specific for-credit course, please indicate the course name and number.  Also include any additional notes that you think would be useful.  

Please attach or send a syllabus, if available.  Thank you.

 

 

Do not complete this section -- in-house use only:
Confirmation sent_________  Date:______________
Librarian working with session:



Penn State Milton S. Hershey Medical Center ©2004
This page was last updated on June 22, 2007
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