Librarian Visits to Schools

Librarian Visits to Schools Form
  1. Please submit this information at least two weeks prior to your desired visit date.

    Fields marked with * are required.

  2. Teacher*
    Please provide the name of the teacher.
  3. School*
    Please provide the name of the school.
  4. Type of School*
    Please select the type of school.
  5. Phone Number*
    Please provide your phone number.
  6. E-Mail Address*
    Please provide your e-mail address.
  7. Subject
    Please provide a subject.
  8. Grade(s)*
    Please provide the grade(s).
  9. Number of Students*
    Please provide the number of students.
  10. Best Time to Reach You
    Please provide the best time to reach you.
  11. Date(s) and time(s) requested (please indicate three choices):
  12. First Choice
    Please provide your first date and time choice.
    Date
  13. Invalid Input
    Time
  14. Second Choice
    Please provide your second date and time choice.
  15. Invalid Input
    Time
  16. Third Choice
    Please provide your third date and time choice.
  17. Invalid Input
    Time
  18. Purpose for visit (booktalk, storytime, etc.)
    Please provide the purpose for visit.
  19.