Library Request for Services

Name: ________________________________________________ Date Submitted:_________ Date Needed: _______

I would like web resources on the following topics:

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I would like these results:

By E-Mail _______ On a Web Page for class use_______ On a handout __________

I would like:

5-10 Results______ 10 –15 Results _______ 15 + Results ______

Do you need print resources on a cart to go with this topic? _________________

If so, how many? _______________________________

Do you want any “refresher” classes taught to your students on:

Internet Search Engines _____ Periodical Reference Guides ____

SIRS _____ Electric Library _______

Microsoft Office Programs____ Which ones?______________________

EBSCO Host ________ INetLibrary ______

Web Page Design_______

I can also provide additional services such as composing an Internet scavenger hunt on your topic, creating a lesson that corresponds with state standards relating to technology, and creating a graphic organizer for your topic. If any of these are needed, or there are other services that you need, please fill in the bottom! Thanks! *It may be necessary to meet to discuss these services.

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