Library Instruction Request Form

Hawaii Pacific University Libraries

Name Name First Last
Phone Number Phone Number - ### - ### ####
Email Address
Department
Today's Date Today's Date / MM / DD YYYY
Information about your class

(To assist the librarian in tailoring instruction to meet the specific information needs of the class.)
The following information is needed for scheduling.
Campus
Class Code

For Example: WRI 1200
Course Meeting Times
Number of Students
Instruction Date Instruction Date / MM / DD YYYY

Please provide at least two weeks advance Notice
Preferred Library Instruction Start Time Preferred Library Instruction Start Time : HH MM AM/PM
Preferred Library Instruction End Time Preferred Library Instruction End Time : HH MM AM/PM
Location for Library Instruction

Location for Library Instruction Instructor Classroom (with projector, computer, and PowerPoint needed) Downtown Campus: Meader Library Hawai‘i Loa Campus: ETC Classroom
Class Room Number

Only required if Instructor Classroom is selected above
Additional Information or Comments
Attach Syllabus

Attach Files

Allowed Extensions (pdf,doc,docx,txt,xls,xlsx)
Attach Assignment or Special Requests for Library Instruction

Attach Files

Allowed Extensions (pdf,doc,docx,txt,xls,xlsx)
Type the letters you see in the image below.