Instruction Request FormInstruction Request Form Instructor's Name*Instructor's Email* Campus*AtlantaAlpharettaClarkstonDecaturDunwoodyNewtonOnlineInstruction modeIn personOnline synchronous (Webex)Online asynchronous (recorded video, tutorials, research guide, etc.)Embedded (librarian temporarily joins online class for discussion board, instruction)Unsure. I'd like to discuss my options with a librarian.Request Date* Date Format: MM slash DD slash YYYY Request Time* : HH MM AM PM For asynchronous, enter start timeAlternate Date Date Format: MM slash DD slash YYYY Alternate Time : HH MM AM PM Course*Describe or upload assignment*Upload AssignmentAdditional informationDetails about class, if you’re already working with a librarian on this class, etc.Do any students have disabilities or special requirements?*YesNoUnknownCAPTCHAThis form collects personally identifiable information. Find out about data collection and policies in our Privacy Notices.