Michael Schwartz Library

Visit Request Form

Please direct any questions you have about your visit to Diane Kolosionek, Urban Affairs/Education/Health Sciences Librarian.

Your Name:

Are you a teacher, librarian, other? Please specify:

School's Name:

Your Telephone Number (include area code):

Your Fax Number:

Your Email Address:

Requested Date of Visit

Arrival Time:

Departure Time:

Number of Students:

Grade Level:

Resources Resources needed:

Library Tour

Instruction Room

Computer Lab

Librarian for Instruction

Other *

*Specify Other:

Subject Area:

Brief description of class assignment or research topic: