School Name:
Your Name/Title:
Phone Number:
E-mail Address:
Fax Number:
Title of Assignment:
Assignment Description:
Grade:
Number of Students:
Types of resources that may be used. (mark all that apply.)
Books Reference Materials Newspapers/Magazines
Library Databases Internet Websites
Date by which you need requested materials ( 1 week advance notice appreciated)
Minimum number of pages required for reading assignments?