Class Reservation Form

Name


Date


Class

Topic

Check Class Period


Check the informational resources below which your class will be using during their visit.

Books Specialized References Encyclopedias Internet Electronic Other

For optimum classroom media center time please see the media specialists prior to the arrival of your class to plan for specific instructional needs for your class. An advance copy of the lesson plan will help to insure that the media specialist will be able to meet your classroom's goals. 
Back To Teacher's Guide

Email Me
Harlan High school Library: Media Services Purchase Form

Media Purchase Request Form

Name:

Check Status:
Teacher
Staff
Student

Department:
Mailbox:
Phone Number:

Please provide as much information as possible.

Today's Date:

Need By Date (if applicable):

Format:       Video       CD       DVD       Other:
Title:
Artist/Director:
Produced by:
Publication Date/Place:
ISBN/Standard #/ Product UPC
Additional Information:

Email Media Purchase Form