Information Literacy Request Form

Information Literacy  Request Form

Please complete all sections of this form to request a library instruction session.
Once your request has been scheduled, a librarian will contact you to discuss specifics. In order to best serve you and your students,
library sessions must be scheduled at least a week in advance. If you have any questions about scheduling, please contact:

Daisy Dominguez, Acting Chief of Reference: Phone: 212-650-5758 or e-mail ddominguez@ccny.cuny.edu.


Part I. Class Information (Include Student Counts)


Name: *
E-mail Address: *
Phone Number: *

Please give us a number where you can best be reached.

Department: *
Course Title: *
Course Number: *
Number of Students: *
Time of Requested Session: *
 : 
Date of Requested Session: *
 /  / 
Alternate Date 1: *
 /  / 
Alternate Date 2: *
 /  / 

Is there a particular librarian you would like to request? 


Please enter a particular librarian or instuctor you would like for your session. If there is no preference please enter 'NA'. For Librarian listings check our Faculty Directory.


Request a Librarian: *

Part II. Your Assignment (Session Type)


Please describe the type of library research you are requiring of your students and what you are hoping your students will learn from this session. Students should be familiar with the requirements of the assignment before they come to a library instruction session. Successful library instruction is based on students having an actual research assignment and knowing what that assignment is before they come for the library session..


Assignment Information: *

Part III. Instruction Session Options (Please choose the type of instructional session.)


Instruction Session: *

Please review your submission. If you have a question about this form, go to 'Ask a Librarian' .