Instruction Request

• Name: *
• Email: *
• Phone:
• Your role: *
• TA Instructor Other
• If 'other', please specify:
• Department: *
• Course Code: *
• Course Name: *
• Has a library session been taught in the past?: *
• Yes No Don't Know
• Learning Outcomes:
• 
  

  In order for us to be able to assess student learning, it is important to establish appropriate learning outcomes for our Information Literacy instruction session.

• Is this request related to a specific assignment?: *
• Yes No
• What do your students already know about using Western Libraries' resources and services?:
• Number of sections (i.e. for large courses): *
• Number of (non-identical) library sessions:
• (i.e. where different topics are covered in each session)
• Number of students: *
• (separate by commas if there are multiple sections)
• Is attendance mandatory or optional?: *
• Mandatory Optional
• Who will be present? (instructor, TA, other):
• 
  

  We encourage you or a TA to be present to encourage student attendance and participation.

• Preferred date, start time, end time: *
• Alternate/subsequent date 1, start time, end time: *
• Alternate/subsequent date 2, start time, end time: *
• Additional Notes (re: dates and times):
• Delivery: *
• In-person (face-to-face) Online Blended (i.e. both)
• Is there an OWL site?: *
• Yes No
• Is there an associated Library Research Guide?: *
• Yes No Don't Know
• If not, would you like us to develop a Library Research Guide?:
• Yes No
• Location: *
• 
  

  (your classroom / your computer lab / you want the library to book a computer lab)

• Building:
• Room Number:

After submitting this form, you will be contacted by a member of the library's Teaching and Learning team. They will ask you to supply a course syllabus and any library-related assignment files.