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Technology Instruction Request
Contact
Your Name
*
Email
*
Instruction Type
What would you like to request?
*
Consultation
: A one-on-one consultation for creating a project, help designing a project for curriculum, or a preliminary meeting before an instruction session.
Class Instruction
: Group instruction session for a course, usually pertaining to a specific assignment
Tour
: In-depth tour of library technology resources
For which topic or resource?
*
Audio Recording
Image Editing
Makerspace
Tech Checkout Desk
Video Recording
Virtual Reality Room
Other / General
If you're not sure which resources or topics you'd like to cover, choose Other/General.
Tours
Preferred date - 1st choice
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2021
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Year
Preferred date - 2nd choice
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Jan
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Department
Course prefix & number
Class begin and end time
Is there a specific topic you would like the tour to focus on?
*
Anything else we should know?
Any accommodations needed for students?
*
No
Yes
Describe accommodations needed
Class Instruction
Preferred date - 1st choice
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
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Dec
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Year
Preferred date - 2nd choice
Month
Jan
Feb
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Jul
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Nov
Dec
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Day
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2021
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Year
Department
Course prefix & number
*
Class begin and end time
*
What are your goals for this assignment?
*
Anything else we should know?
*
Any accommodations needed for students?
No
Yes
Describe accommodations needed
Consultation
Preferred date - 1st choice
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
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Year
2021
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2023
Year
Preferred date - 2nd choice
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
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2021
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Year
Department
Project Purpose
*
Personal Project
Class (please provide course name/number)
Project Purpose Class (please provide course name/number)
What are your goals for this assignment or project?
*
Anything else we should know?
Leave this field blank
Submit
