Qualtrics Survey | Qualtrics Experience Management

Please complete this form to the best of your ability. A librarian will follow-up with you to discuss your course.

Course Instructor's Name (required):

Email Address (required):

Course Prefix and Number (e.g. HUM 114) (required):

How many students are enrolled in your course? (required):

Course Format (select one): (required)

Have you ever had a librarian visit your course in prior semesters? If yes, please enter the librarian’s name.

Does your class require any accommodations? Please describe.

Please upload the course assignment that requires research or library skills. This can be a draft. (optional):

Please upload the course syllabus. This can be a draft. (optional):

Tell us more about your class and assignment: (optional)

What will students need to do in order to complete this assignment successfully?

If you’ve given this assignment in prior semesters, were there areas where students struggled to meet your expectations?

What are your learning outcomes for the library instruction session?

When is the assignment due?

When will you discuss the assignment with your students?

What is your preferred date for library instruction?