Education Request Form

Please complete this form and press the "SUBMIT" button below:

Requestor/Contact Information:
Name:
Status:
School, Unit, or Department:
E-Mail: Preferred
Phone:
Class Information:
Preferred Date: Calendar requires pop ups being allowed.	view calendar
Preferred Time:
Class Length:
Number of Students:
Class Format preferred:
Include museum tour?	Yes No
Reserve Electronic Classroom (LHL G-40)?	Yes No Other Location, please specify:
What Type of Session(s)? To the right are our most requested classes and resources. Please select from list what you wish to be included. We can also tailor sessions to your needs. Please supplement your choices by describing your learning objectives below. *	Library Research Skills: PubMed: E-journal Access : Evidence-Based Medicine Resources: Web of Science: Community of Science and other Grant resources: Endnote/Reference Manager:
Objectives: Please describe your learning objectives or what you want your students to learn.
or

If you experience difficulty submitting your registration with this form,
you can also e-mail directly to Ms. Lee Vucovich at .

For additional help, call the Reference Desk at 205-934-2230 or contact us at Ask a Librarian.