Teacher Request Form

Teacher Request for Materials Form (Grades 6-12)
This service enables teachers to request up to 10 items per topic/author for classroom/group use. Materials may be checked out for 3 weeks, and may be renewed by phone for another 3 weeks.
Teacher*:
School*:
Class/Grade*:
Library Barcode #*:
Home Phone:
School Phone*:
Email Address*:
Pick up Date*:	Please allow 7 days for materials to be gathered.
Pick-up Location*:	Nichols Library Naper Blvd. Library 95th Street Library
Materials Needed*:	Please give a complete description of the assignment, materials requested, formats needed - the more we know, the better we can meet your needs. * = required field

Contacts Ph: 630-961-4100
Nichols Library Naper Blvd. Library 95th Street Library	Ravi Shenoy. Ext. 6314 Zoe Buchanan. Ext. 2201 Misty Stamogiannos. Ext. 4953	Fax:(630) 961-2933 Fax:(630) 961-4166 Fax:(630) 637-4870	(Email) (Email) (Email)