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11/22/2009
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Special Collections Instruction Request Form
*** Please fill out this form completely***
Name:
Department:
Phone:
Email:
Campus Mailing Address:
Course Number:
Course Title:
# of students/attendees:
Normal meeting days & times:
Day(s)
Monday, Wednesday, Friday
Monday, Wednesday
Monday
Wednesday
Friday
Tuesday, Thursday
Tuesday
Thursday
Saturday
Monday - Thursday
Requesting:
Class Visit
Guest Instructor
Collections Use
Collections interested in:
University Archives
Special Collections
Manuscripts
Books
Art
Bibliographic Instruction on Primary Resources
Please list your three preferred dates & times for your class visit or guest lecturer. Please keep in mind that we need
2 weeks
to one month's notice. Thank you.
Preferred:
Month
January
February
March
April
May
June
July
August
September
October
November
December
-
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Year
2009
2010
2011
2012
1st Alternate:
Month
January
February
March
April
May
June
July
August
September
October
November
December
-
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Year
2009
2010
2011
2012
2nd Alternate:
Month
January
February
March
April
May
June
July
August
September
October
November
December
-
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Year
2009
2010
2011
2012
Please describe how you anticipate students will be using the collections:
Please copy and paste your course syllabus indicating class visit & Special Collections use/assignment(s).
What topics would you like covered during the class visit or guest lecture:
Would you like materials from the collection pulled and ready for student use?
Is there any other information we need to know about your request, such as any students who need special accommodations?
Thank you for your request. Please expect to hear back from a Special Collections staff member within 3 working days. If you have any questions, please contact Special Collections at 407-823-2576 or
speccoll@mail.ucf.edu
.
Last Updated: 15-Jul-09
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