*Your Name:

*Teacher's Name:

*School Name:

Teacher's email address or email of contact:

Telephone number:

FAX number:

Preferred Method of Contact? E-mail Telephone Fax

Assignment Information

*Grade Level:

Date assignment given:

Date assignment due:

Please provide a description of the assignment here:

Number of sources required:

Acceptable Sources:
Books: Encyclopedias: Magazines: Newspapers: Internet Sites: Online Databases:

Please describe any other specific requirements about sources.
[example- students must have 3 book sources and 1 internet source, or - students must have at least 2 primary sources]

The following box is for any other relevant information about the assignment.

If you have any questions, please contact:
Jennifer Hartshorn, Youth Services Librarian
E-mail: jhartshorn@sailsinc.org