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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:

Requesting:
Class Visit Guest Instructor Collections Use

Collections interested in:
University Archives Special Collections
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: - -
1st Alternate: - -
2nd Alternate: - -

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 accomodations?

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: 30-Apr-07

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Special Collections Instruction Request Form