Fullerton College Library
Instruction Session Request Form

Fall 2016

Library Hours

August 22 - December 10, 2016
Monday - Thursday 7:30am - 9:00pm
Friday 7:30am - 4:00pm
Saturday 10:00am - 2:00pm
Check library website
for holiday closures

Location: Library Classroom 827, 2nd floor
Seating: 31 computer research stations, including one adaptive station
Form Submission: E-mail this form by clicking the "Submit via Email" button at the bottom of the page.
Contact: Instruction Librarian Jill Kageyama @ jkageyama@fullcoll.edu or (714) 992-7380

Request forms must be received at least 5 work days prior to a library instruction session first choice date. Please allow 48 hours for a response.

         * Required fields. Please do not leave blank.      
        Today's Date:

Contact Information:


Work Phone*



Course Information:

Course Number & Title*

Number of Students*

Does your class require accommodations based upon a disability?

        If yes, describe how we may best provide alternate formats or other methods to access library content:

Date and Time:

First Choice:   

Second Choice:   

Start Time*:

Length: 1 hour and minutes.

Please note: Sessions approximately 1 hour in length will include instruction and hands-on practice. Sessions approximately 2 hours in length will include instruction and time for students to begin research on a class assignment.


Types of Library Instruction Sessions (Please select one):

Note: For librarians to prepare a specialized session, the research assignment needs to be attached or sent/eMailed at least one week before the session.


What are your learning objectives for the session?:


Librarian preferred:

Instructor's Signature:

Please note: It is the expectation that the instructor will attend.

Fullerton College Library
Copyright © 2010. All rights reserved.
Revised: April 5, 2016