Information Literacy Book a Session

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First Name*

Last Name*

Western Email*

Phone Number *

Academic Program*

Course Number*

Number of Students*

Preferred Session Date*Please include the date, start time and end time.

Alternative Session Date*Please include the date, start time and end time.

Preferred Location* Please Select Classroom Computer Lab No Preference

If in a classroom, please specify.Building and room number.

Learning Outcomes/Purpose for Session*

Assignment Details

What year are your students? *

First-year

Second-year

Third-year

Fourth-year

Prelim

International/ESL

Transfer

Check all that apply.

Do any of your students require accommodation?*

Yes

No

If yes, please explain.

Additional Information/Comments

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