Assignment Alert

To be filled out by the teacher and called, mailed, e-mailed, or delivered directly.


Middlebury Community Library
PO Box 192;  101 East Winslow
Middlebury, IN 46540
Phone: 825- 5601    Fax: 825-5150
E-Mail: mclib@mdy.lib.in.us



Assignment

Date:                           School:

Teacher's Name:  Grade Level:

Subject:       Number of Students Involved:

Topic of Assignment:

Date of Given assignment:           Due Date:


Types of Materials Needed: (Check ALL that apply)
Books     Reference materials    Audiovisual   Other (please explain in the box below)

What would you like us to do with them?
Keep on reserve at the public library.
Collect for you to use in the classroom.
Other  (please explain in the box below)


Our policy is to answer any question that is asked.  Would you prefer that students do the research on their own?
Yes       No

Please write a summary of the assignment in the box below.  Be sure to explain any of the 'other' boxes checked above. 
We can better assist you with at least two weeks notice.

Because of abuse of this form, please type "I Agree" (case sensitive) in the following box to confirm that you are only using this form for it's intended purpose.


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Last updated: December 6, 2005
Comments to Webmaster at mclib@mdy.lib.in.us