Teacher Request Form

Teacher Request for Materials
We will provide you with appropriate materials from which you may select 10 items to check out. Materials will be checked out for 3 weeks, and may be renewed by phone for an additional 3 weeks. Please note: videos circulate for only 1 week!
School:
Teacher:		Class/Grade:
Email:		Library Barcode:
Home Phone:		School Phone:
Please allow 7 days before pick-up for materials to be gathered
Pickup Date:		Pickup Location:
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)