Librarian-Teacher Planning Sheet (Request for Materials & Services)

The library would like to encourage you to involve library resources when you are planning a new unit of instruction. If you would like to have the following services provided, please supply the information below and return this form.

Also, please attach assignment sheet, project, booklet, report format, bibliography, etc. - any relevant items that you are using to this form.

My class will be studying the following units during this quarter/ semester/ year.

Subjects (topic, theme, unit)	Date - month, week
1
2
3
4
5
6
7
8

I would like to have the following library services provided:

___ Collect books on the subject and notify me when they are ready to for pick-up

___ Collect nonbook materials on the subject

___ Prepare a bibliography of materials

___ Plan a related book talk for my class

___ Plan for library instruction related to this unit

___ Other (specify) ____________________________________________________

Name _____________________________ Room number ______________________