Brookdale Community College

Course Integrated Library Instruction Request

Instructor Name *

E-mail *

Phone Number *

Department *

Course Title *

Course Number *

Section Number *

Number of Students *

Time of Day the Section Meets *

Length of Section *

Location *

Which of the following statements best describes your course? *

Online Course

Traditional Classroom Course

Hybrid Course

Please request your workshop for at least 2 weeks in advance of today in order to allow us time to schedule and prepare.

Preferred Day of Workshop * +

Alternative Day of Workshop * +

Upload Your Assignment

Comments

0/500 words

Questions?

Please contact the Department Chair.

Powered by Formsite

Formsite