Library Instruction Request Form

Note: Please fill out form and send to the Distance Education Library Services office or submit electronically.
Date:
Instructor Information
First Name:	*
Last Name:	*
E-mail Address:	*
Daytime Phone Number:
Evening Phone Number:
Course Information
Course Name:	*
Date Instruction Needed:	*
Course Time:	*
Class Location:	* Corbin Danville Manchester Blackboard KTLN

URL: http://www.library.eku.edu/distance/instruction.php web.library@eku.edu

Last modified: January 04, 2005 | 09:35:05 Validation: CSS | W3C