Outreach Instruction Sign-up Form

Outreach Instruction Sign-up Form

To schedule a training session, please complete all questions.

PLEASE NOTE: Outreach instruction for public groups is available to Broward county residents, organizations, and school groups, including all Broward County schools (9th grade or higher). The intent of Outreach instruction is to facilitate access to the library's resources. Let us help your group maximize and improve their research skills and the use of the library's information resources. For further information, see the Outreach Instruction Request Policy.

1. Your name:

2. Email:

3. Telephone:

4. How would you like to be contacted?
By email
By phone

5. Do you have an NSU library card?
Yes
No
To apply for an NSU Library Card, visit: http://novacat.nova.edu/selfreg

6. Information about the group requesting training:

Name of group or organization:

Street address:

City, state & zip code:

7. Type of group:

	Broward County residents
	Broward County agency
	Business/Corporation
	Non-profit organization (Girl Scouts, Chamber of Commerce, etc.)
	School group - 9th grade or higher K-8 school groups should contact the Public Library Services Department for group training or field trips.
	Other If "other" please specify type of group:

8. How many people will be attending?
(A range may be specified)

9. What would your group like to receive training in?

Subject Area:

Other Subject
(if applicable):

Specific Database
(if applicable):

10. When is your group available for training?
Training sessions last approximately one hour. Please enter three dates and times that are best for your group. Training is offered Monday-Friday: 9:00 a.m.-9:00 p.m. (EST) *(last session held at 8:00 p.m.), and should be made at least three business days in advance. You will be contacted with confirmation of your session date/time.

Preferred times - Day, Date, and Time*:
* NOTE: Times should conform to Eastern Time.

First choice:

Day: Date: Time:

Second choice:

Day: Date: Time:

Third choice:

Day: Date: Time:

11. Where would your group like to receive training?
In person at the Alvin Sherman Library
At your location. Please specify:

12. How did you learn about this service?
Friend Librarian Library Website Flyer
Other (please specify):

13. Any additional comments or specific requests?

Please be sure you have completed all questions before submitting. Thank you!

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The ASLRITC is a joint-use facility between Nova Southeastern University and the Broward Cty. Board of County Commissioners

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Last updated: 01/04/2007