Teacher:    Subject: Grade

Size of group doing assignment (total # of students)

Date Assigned:

Date Due:

Brief Description of Assignment:

Do your students need instruction (computer or library) or review from the LRC staff? 

Yes No

If yes, what instruction or review:

Materials that may be used for the assignment:

Books Magazines Encyclopedias   Internet

Would you like a cart of  materials  pulled? Yes No

Would you like a website developed with links Yes No

If yes, list the topics you need on the web:

Please Print and bring this with you when you sign in the LRC