Birchard Public Library

Teacher's Name:
Email Address:
Phone Number:
School:
Grade:
The best time to reach me is:
Description of assignment or project:
Are there specific questions that must be answered? If so, what are the questions?
Are resources available in the school library?	Yes No
Are resources available in the classroom?	Yes No
How many students will be working on this assignment?
Date the assignment begins:
Date the assignment ends:
Would you like materials to be reserved at the library for research? (These reserved materials may not be checked out for the duration of the assignment.)	Yes No