This document is a form for teachers to request resources and assistance from the school library for an upcoming project or unit. It asks for the teacher's name, grade, subject, topic of study, requested books, computers, audio/visual equipment, electronic resources, production skills instruction needs, and availability to collaborate with library staff. Completing and submitting the form will help the library fulfill the resource and support needs of the teacher's project or unit.

1. COOL
Connections
Upcoming project? New Unit? Need resources or ideas? Your library can help!
Please complete the following and place in library’s mailbox.
Teacher (s): ________________________________ Today’s Date: _____________
Grade (s): _________________________________ Date Needed: _____________
Subject (Circle One): Math Reading Science Social Studies
Media Writing
Literacy
Topic(s) of Study: _____________________________________________________
_____________________________________________________
Books Reserved Computers Reserved Audio/Visual Equipment
(i.e. Titles, Genre type) (i.e. videos, projector)
# Requested:
Date Requested:
Time:
Other:
Electronic Resources Production Skills Instruction Other:
(i.e. Worldbook, Catalog) (i.e. website creation, utilities)
Would you like the library staff to collaborate on a project or lesson?
Yes No
If yes, best time/day to meet: _______________________________________
Created by CKnight on 9/30/12